Simultaneous Bilateral Hip Replacement: Is It Possible?

Bilateral hip replacement surgery refers to the replacement of both hips during one surgical procedure. Unlike what some might assume, simultaneous hip replacement does not mean both hips are replaced at the exact same time. Instead, both procedures are performed during a single surgery session. Although it is rare, this approach is occasionally carried out in specialized medical centers with adequate surgical teams and equipment.

Why Is Simultaneous Bilateral Hip Replacement Rare?

Simultaneous bilateral hip replacement poses significant risks, particularly given the complexity and duration of the surgery. It is rarely recommended because it involves:

Extended Anesthesia Time: Both hips are operated on in one session, which significantly lengthens the time a patient is under anesthesia. Huge Blood Loss: The surgical procedure requires a substantial amount of blood, placing additional stress on the patient. Complex Recovery: The healing period is more challenging and prolonged, increasing the risk of complications.

Exceptions and Special Cases

However, there are specific scenarios where simultaneous bilateral hip replacement may be considered:

Bilateral Avascular Necrosis: This condition occurs in patients receiving steroid treatments, leading to bone death in both hips. In these cases, simultaneous surgery is not advised due to the increased risk of complications. Immune Suppression: Patients undergoing immune suppression therapy may also have bilateral collapse due to steroid use, making simultaneous surgery unsuitable.

Are There Any Surgeons Who Perform Simultaneous Bilateral Hip Replacement?

Due to the high risks involved, finding a surgeon willing to perform simultaneous bilateral hip replacement is extremely rare. Most surgeons, including your primary orthopedic surgeon, do not recommend this approach. Even within my own experience, when I consulted with a combined orthopedic specialist, the answer was clear: no way.

Alternatives to Simultaneous Bilateral Hip Replacement

If both hips and knees are symptomatic, it's typically more beneficial to consider a stepwise approach:

Start with Hip Replacement: By addressing the hip first, you might find relief in knee pain, which can simplify the overall treatment plan. Follow-Up with Knee Replacement: Once the hip is treated, the knee pain may improve, reducing the need for simultaneous surgery and decreasing the overall risk.

Although simultaneous bilateral hip and knee replacement surgery is possible, it is highly specialized and typically not recommended due to the increased complexity and risk. It is crucial to discuss all options with your orthopedic surgeon to determine the best approach for your specific condition.