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학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
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연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2015.1
- 수록면
- 77 - 82 (6page)
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Purpose: To compare the postoperative complications and cost-effectiveness of simultaneous and staged bilateral total hip arthroplasty (THA), using a minimally invasive two-incision technique.
Materials and Methods: All 206 patients who underwent simultaneous or staged bilateral THA using a modified, minimally invasive two-incision between January 2004 and November 2009 were registered and divided into a simultaneous bilateral THA group (group A, 147 patients) and staged bilateral THA group (group B: 59 patients). Staged THA was performed on group B with interval of at least 2 months between the initial and second surgery. Clinical evaluations, amount of blood loss, need for transfusion, complications and costeffectiveness were compared.
Results: Perioperative morbidity rates were similar in the two groups (P=0.546) and overall complications were not significant between the groups. Average length of hospital stay was significantly shorter in group A than in group B (average 14.6 days vs. 25.3 days; P<0.001). Total medical cost was significantly higher in group B than in group A (average 9,236 US dollars vs. 11,163 US dollars). Patients in group A required more blood transfusions than those in group B (3.02 vs. 1.90 units; P=0.003), although blood loss in the two groups were similar (892 vs. 917 ml P=0.613).
Conclusion: Comparison of intra- and postoperative complications support the conclusion that simultaneous bilateral THA compares favorably with staged THA in terms of outcomes, complications and cost-effectiveness.
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참고문헌 (20)
참고문헌 신청
Aghayev E / 2010 / Simultaneous bilateral hip replacement reveals superior outcome and fewer complications than two-stage procedures : a prospective study including 1819 pat
Alfaro-Adrian J / 1999 / One-or two-stage bilateral total hip replacement / J Arthroplasty 14 : 439 ~ 445
Berend ME / 2005 / Simultaneous bilateral versus unilateral total hip arthroplasty an outcomes analysis / J Arthroplasty 20 : 421 ~ 426
Diwanji SR / 2009 / Bilateral simultaneous two-incision minimally invasive total hip arthroplasty / J Orthop Sci 14 : 517 ~ 524
Huotari K / 2007 / Patient outcomes after simultaneous bilateral total hip and knee joint replacements / J Hosp Infect 65 : 219 ~ 225
Alfaro-Adrian J / 1999 / One-or two-stage bilateral total hip replacement / J Arthroplasty 14 : 439 ~ 445
Berend ME / 2005 / Simultaneous bilateral versus unilateral total hip arthroplasty an outcomes analysis / J Arthroplasty 20 : 421 ~ 426
Diwanji SR / 2009 / Bilateral simultaneous two-incision minimally invasive total hip arthroplasty / J Orthop Sci 14 : 517 ~ 524
Huotari K / 2007 / Patient outcomes after simultaneous bilateral total hip and knee joint replacements / J Hosp Infect 65 : 219 ~ 225
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