Comparative study of simultaneous and staged bilateral non-cemented total hip replacement in young active adults in terms of cost effectiveness and improvements in Harris hip score

Abstract

Objective: To compare the outcome of simultaneous versus two staged Non-cemented Total hip Arthroplasty (THA) in terms of cost effectiveness and improvement in Harris Hip Score (HHS)Material and methodology: This comparative prospective study was conducted from 2008 to 2012. Total 100 patients with 200 hips fulfilling the inclusion and exclusion criteria was included in this study. Non-cemented THA was performed in all these patients. Fifty patients each were placed in group A and B who were managed with simultaneous bilateral THA and staged bilateral non-cemented THA respectively. Patients in both the groups were matched. Duration of surgery, preoperative and postoperative HHS, duration of stay in hospital, time to return to work and complications were the main variables that were evaluated. Results: The mean preoperative and postoperative HHS in group A was 53.08±8.178 (36-69) and 92.62±2.26 (90-97) respectively with p-value