The modified Hardinge lateral approach over the peri-operative clinical safety study of simultaneous bilateral total hip arthroplasty

CAO Junpei; SHEN Gufeng; LU Jialong; LIU Jianlin; LI Mengjun

doi:10.3969/j.issn.1671-6450.2016.12.021

Abstract：Objective To observe the effect of modified Hardinge lateral approach for bilateral total hip arthroplasty in the treatment of bilateral hip joint disease and the safety of perioperative period .Methods The modified Hardinge lateral approach of one-stage simultaneous bilateral total hip arthroplasty were retrospectively studied from August 2002 to January 2015 admitted to the Department of orthopedics of Branch of Shanghai First People 's Hospital affiliated to Shanghai Jiao Tong University (concurrent group) 98 cases (196 hips) and staged bilateral total hip arthroplasty (staging group) 96 cases (192 hips ) , observation and comparison of 2 groups of patients with operation time , the total amount of bleeding during , the amount of blood transfusion, surgery, Harris score, length of stay, total cost, postoperative complications and other clinical indica-tors.Results Two groups of patients'gender, age, etiology, Harris score before and after surgery , total blood loss, blood transfusion, postoperative lead flow, postoperative complications and so on were not statistically significant ( P >0.05).The operation time, cause period group (101.7 ±22.0) min, hospital stay was (15.3 ±1.2) d, the total cost was (6.1 ±1.3) ×104 yuan;the operation time stage group (166.0 ±32.1) min, hospital stay was (32.6 ±2.5) d, the total cost was (9.7 ±2.6) ×104 yuan,2 group's difference was statistically significant ( t =3.389, t =4.516, t =3.889, P <0.05).Conclu-sion The improved Hardinge lateral approach is safe and effective for bilateral hip replacement , and can reduce the operation time, reduce the length of hospital stay and save the hospitalization expenses .