We found a match
Your institution may have access to this item. Find your institution then sign in to continue.
- Title
Early morbidity after simultaneous and staged bilateral total knee arthroplasty.
- Authors
Lindberg-Larsen, Martin; Jørgensen, Christoffer; Husted, Henrik; Kehlet, Henrik
- Abstract
Purpose: The aim of this nationwide study was to investigate the early morbidity after bilateral simultaneous and staged total knee arthroplasty (TKA) in order to clarify potential benefits of a well-established fast-track regime. Methods: The Danish National Patient Registry was searched for all bilateral simultaneous and staged TKA procedures from 2010 to 2011. The staged procedures were defined as two separate procedures done within 0-6 months or within 7-18 months. Results: A total of 157 patients had bilateral simultaneous TKA, 346 patients had bilateral staged TKA within 0-6 months and 292 patients had bilateral staged TKA within 7-18 months. The median length of stay in hospital (LOS) was 4 days (interquartile range, IQR: 3) after bilateral simultaneous TKA versus cumulated LOS of 6 days (IQR: 3) in both of the bilateral staged groups ( p < 0.001). There were no deaths after bilateral simultaneous TKA versus three deaths (0.9 and 1.0 %) in each of the bilateral staged groups within 90 days of surgery (n.s.). The total readmission rate within 30 days of surgery was lower after bilateral simultaneous TKA (7 %, CI 4.0-12.0) and bilateral staged TKA within 0-6 months (9 %, CI 6.4-12.4) compared with 14 % (CI 11.5-20.1) after bilateral staged TKA within 7-18 months. Conclusions: The results from this nationwide study indicate that bilateral simultaneous TKA can safely be performed in a fast-track set-up. Level of evidence: Therapeutic study, Level III.
- Subjects
TOTAL knee replacement; DISEASE research; HOSPITAL care; KNEE surgery; ARTHROPLASTY
- Publication
Knee Surgery, Sports Traumatology, Arthroscopy, 2015, Vol 23, Issue 3, p831
- ISSN
0942-2056
- Publication type
Article
- DOI
10.1007/s00167-014-2880-1