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Comparison of simultaneous bilateral and staged bilateral total knee arthroplasty in terms of perioperative complications

Authors
 Hang-Seob Yoon  ;  Chang-Dong Han  ;  Ick-Hwan Yang 
Citation
 JOURNAL OF ARTHROPLASTY, Vol.25(2) : 179-185, 2010 
Journal Title
 JOURNAL OF ARTHROPLASTY 
ISSN
 0883-5403 
Issue Date
2010
MeSH
Adult ; Aged ; Aged, 80 and over ; Arthritis, Rheumatoid/surgery* ; Arthroplasty, Replacement, Knee/methods* ; Blood Loss, Surgical/statistics & numerical data* ; Female ; Humans ; Knee Joint/surgery ; Length of Stay/statistics & numerical data* ; Male ; Middle Aged ; Osteoarthritis, Knee/surgery* ; Postoperative Complications ; Postoperative Hemorrhage ; Retrospective Studies ; Risk Factors
Abstract
We compared bilateral total knee arthroplasty (TKA) performed at a single session vs those performed at 2 separate sessions with respect to complications, amount of blood loss, and length of hospital stay. Study participants included 119 consecutive patients undergoing simultaneous bilateral TKA and an additional 119 patients undergoing staged bilateral TKA. Systemic complication in the simultaneous bilateral TKA was significantly higher statistically than that in the staged bilateral TKA. Therefore, performing simultaneous bilateral TKA in elderly or high-risk patients results in a significantly higher rate of systemic complications. Simultaneous bilateral TKA is a relatively safe and beneficial procedure with a minimal increase in the risk of systemic complications. However, this procedure should be conducted carefully, particularly in elderly and high-risk patients
Full Text
http://www.sciencedirect.com/science/article/pii/S0883540308009686
DOI
10.1016/j.arth.2008.11.103
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Orthopedic Surgery (정형외과학교실) > 1. Journal Papers
Yonsei Authors
Yang, Ick Hwan(양익환)
Han, Chang Dong(한창동)
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/100530
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