1. Simultaneous bilateral total hip arthroplasty-a survey of Irish orthopaedic surgeons' practice.
- Author
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Doyle TR, Davey MS, Toale JP, O'Driscoll C, and Murphy CG
- Subjects
- Humans, Ireland, Surveys and Questionnaires, Practice Patterns, Physicians' statistics & numerical data, Attitude of Health Personnel, Male, Female, Arthroplasty, Replacement, Hip statistics & numerical data, Orthopedic Surgeons statistics & numerical data
- Abstract
Background: Bilateral total hip arthroplasty may be performed simultaneously (SIMTHA) or in two staged operations., Aim: To assess attitudes towards and utilization of SIMTHA in Irish orthopaedic practice, and to assess patient and surgeon factors which are associated with the management of bilateral hip arthritis., Methods: A 16-question electronic survey (Google Forms) was distributed via email to consultant Irish orthopaedic surgeons who perform total hip arthroplasty, followed by a reminder 1 month later. A p value < 0.05 was considered significant., Results: There were 53 responses from arthroplasty surgeons, with 28% reporting they never perform SIMTHA, 26% have performed ≤ 5 SIMTHA, and 46% do ≥ 1 SIMTHA per year. Amongst the 15 surgeons who do not do SIMTHA, 60% reported a preference for staged arthroplasty, 20% felt it was not feasible in their institution, and a third reported a lack of experience with SIMTHA. There was a significant association between not performing SIMTHA and years of consultant experience (p = 0.002). There were no institutional guidelines on eligibility criteria for SIMTHA. The most common time interval for staged bilateral arthroplasty was 6-12 weeks (60%). Overall, 56% of surgeons felt SIMTHA is underutilised in the Irish healthcare system; this was associated with greater SIMTHA volume (p = 0.023)., Conclusion: Half of the Irish arthroplasty surgeons report SIMTHA is a regular aspect of their practice. Performing SIMTHA is associated with greater arthroplasty volume, more recent consultant appointments, and a perception that the operation is underutilised., (© 2024. The Author(s).)
- Published
- 2024
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