English (United Kingdom)

https://curated-unify.zendy.io/wp-json/zendy-region/v1/featured_content/oa?rat=en

https://curated-unify.zendy.io/wp-json/zendy-region/v1/highlighted_journal/

Global: Zendy Plus annual

Presents the access of premium content as premium feature

Premium Content

Presents the keyphrase highlighting as premium feature

Keyphrase Highlighting

Presents the summarisation as premium feature

Summarisation

Insights

Presents the pdf analysis as premium feature

PDF Analysis

Presents the zaia usage as premium feature

ZAIA

Global: Zendy Tools annual

Global: Zendy Free Plan

Global: Zendy Tools monthly

Global: Zendy Plus monthly

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 <0.0001. Similarly mean preoperative and postoperative HHS in group B was 57.04±5.08 (45-68) and 91.58±2.43 (87-96) respectively with p-value <0.0001. Mean hospital stay in group A was 6.48±0.84 days (5-9 days) while that in group B was 14.2±1.84 days (11-18 days) and this difference was statistically significant. Though the duration to return to work in both the group was not significantly (6.32±0.82 versus 6.54±0.97 months, P-value >0.05) different but that interval of 3 months between the bilateral THA placed extra time loss from work in group B patient adding to extra financial burden to these patients. Conclusion: It can be concluded that simultaneous bilateral THA is cost effective with same level of functional outcome when compared to staged bilateral THA. However, the long-term outcome, the effect of the simultaneous and staged procedure on psychological condition of the patient and family needs

international journal of orthopaedics sciences

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