One stage bilateral total hip arthroplasty, is it safe? A meta-analysis

Daniël Haverkamp*, Michel P.J. van den Bekerom, Ivo Harmse, Matthias U. Schafroth

*Corresponding author for this work

Research output: Contribution to JournalArticleAcademicpeer-review


Controversy has prevailed for many years relating to the safety of one-stage and two-stage total hip arthroplasty (THA) for bilateral disease. We performed a meta-analysis of 1460 studies of which 5 prospective studies met our inclusion criteria. A total of 579 patients had two-stage procedures and 334 had one-stage surgery. The studies showed a low heterogeneity (I2 =0%) allowing pooling of data. No differences were found in the incidence of major complications (odds ratio 0.72 95%CI: 0.45-1.15). One-stage bilateral THA may therefore be a safe procedure.

Original languageEnglish
Pages (from-to)440-446
Number of pages7
JournalHip International
Issue number4
Publication statusPublished - 1 Jan 2010
Externally publishedYes


  • Arthroplasty
  • Bilateral
  • Complications
  • Hip
  • Osteoarthritis


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