The Journal of Arthroplasty
Volume 25, Issue 2 , Pages 179-185, February 2010

Comparison of Simultaneous Bilateral and Staged Bilateral Total Knee Arthroplasty in Terms of Perioperative Complications

  • Hang-Seob Yoon, MD
    • ,
  • Chang-Dong Han, MD, PhD

      Affiliations

    • Corresponding Author InformationReprint requests: Chang-Dong Han, MD, PhD, Department of Orthopaedic Surgery, Yonsei University College of Medicine, 250 Seongsanno, Seodaemun-gu, Seoul 120-752, Republic of Korea.
    • ,
  • Ick-Hwan Yang, MD, PhD

Department of Orthopedic Surgery, Yonsei University College of Medicine, Seoul, Republic of Korea

Received 16 May 2008; accepted 30 November 2008. published online 05 February 2009.

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.

Keywords: total knee arthroplasty, simultaneous, staged, perioperative morbidity, complication

To access this article, please choose from the options below

Login to an existing account or Register a new account.

  • Purchase this article for 31.50 USD (You must login/register to purchase this article)

    Online access for 24 hours. The PDF version can be downloaded as your permanent record.

  • Subscribe to this title

    Get unlimited online access to this article and all other articles in this title 24/7 for one year.

  • Claim access now

    For current subscribers with Society Membership or Account Number.

  • Visit SciVerse ScienceDirect to see if you have access via your institution.
 

 No benefits or funds were received in support of the study.

PII: S0883-5403(08)00968-6

doi:10.1016/j.arth.2008.11.103

The Journal of Arthroplasty
Volume 25, Issue 2 , Pages 179-185, February 2010

Article Tools