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

被引：114

作者：

Yoon, Hang-Seob ^{[1
]}

Han, Chang-Dong ^{[1
]}

Yang, Ick-Hwan ^{[1
]}

机构：

[1] Yonsei Univ, Coll Med, Dept Orthopaed Surg, Seoul 120752, South Korea

来源：

JOURNAL OF ARTHROPLASTY | 2010年 / 25卷 / 02期

关键词：

total knee arthroplasty; simultaneous; staged; perioperative morbidity; complication; MOLECULAR-WEIGHT HEPARIN; VENOUS THROMBOEMBOLISM; PULMONARY-EMBOLISM; REPLACEMENT; PREVENTION; SAFETY; ANALGESIA; MORTALITY; SURVIVAL;

D O I：

10.1016/j.arth.2008.11.103

中图分类号：

R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];

学科分类号：

摘要：

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.

引用

页码：179 / 185

页数：7

共 32 条

[1] Sequential bilateral total knee arthroplasty under 1 anesthetic in patients ≥75 years old -: Complications and functional outcomes [J].

Adili, A ;

Bhandari, M ;

Petruccelli, D ;

de Beer, J .

JOURNAL OF ARTHROPLASTY, 2001, 16 (03) :271-278

[2] Incidence of fatal pulmonary embolism after 1,390 knee arthroplasties without routine prophylactic anticoagulation, except in high-risk cases [J].

Ansari, S ;

Warwick, D ;

Ackroyd, CE ;

Newman, JH .

JOURNAL OF ARTHROPLASTY, 1997, 12 (06) :599-602

[3] Bilateral total knee replacement: Staging and pulmonary embolism [J].

Barrett, Jane ;

Baron, John A. ;

Losina, Elena ;

Wright, John ;

Mahomed, Nizar N. ;

Katz, Jeffrey N. .

JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME, 2006, 88A (10) :2146-2151

[4] Postoperative ileus in the lower extremity arthroplasty patient [J].

Bederman, SS ;

Betsy, M ;

Winiarsky, R ;

Seldes, RM ;

Sharrock, NE ;

Sculco, TP .

JOURNAL OF ARTHROPLASTY, 2001, 16 (08) :1066-1070

[5] Total knee arthroplasty in patients 90 years of age and older [J].

Belmar, CJ ;

Barth, P ;

Lonner, JH ;

Lotke, PA .

JOURNAL OF ARTHROPLASTY, 1999, 14 (08) :911-914

[6] Low-molecular-weight heparin (enoxaparin) as prophylaxis against venous thromboembolism after total hip replacement [J].

Bergqvist, D ;

Benoni, G ;

Bjorgell, O ;

Fredin, H ;

Hedlundh, U ;

Nicolas, S ;

Nilsson, P ;

Nylander, G .

NEW ENGLAND JOURNAL OF MEDICINE, 1996, 335 (10) :696-700

[7] Comparison of simultaneous bilateral with unilateral total knee arthroplasty in terms of perioperative complications [J].

Bullock, DP ;

Sporer, SM ;

Shirreffs, TG .

JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME, 2003, 85A (10) :1981-1986

[8] Rationale for low-molecular-weight heparin prophylaxis after total knee arthroplasty [J].

Colwell, Clifford W., Jr. ;

Hardwick, Mary E. .

CLINICAL ORTHOPAEDICS AND RELATED RESEARCH, 2006, (452) :181-185

[9] ROLE OF ANESTHESIA IN SURGICAL MORTALITY [J].

DRIPPS, RD ;

ECKENHOFF, JE ;

LAMONT, A .

JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 1961, 178 (03) :261-&

[10] BLOOD-GAS AND CIRCULATORY CHANGES DURING TOTAL KNEE REPLACEMENT - ROLE OF THE INTRAMEDULLARY ALIGNMENT ROD [J].

FAHMY, NR ;

CHANDLER, HP ;

DANYLCHUK, K ;

MATTA, EB ;

SUNDER, N ;

SILISKI, JM .

JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME, 1990, 72A (01) :19-26

← 1 2 3 4 →