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European Journal of Orthopaedic Surgery & Traumatology
Published in: European Journal of Orthopaedic Surgery & Traumatology 6/2014

01-08-2014 | Original Article

Length of hospital stay with patient-dependent determination in bilateral scheduled staged total knee arthroplasty

Authors: Yoshinori Ishii, Hideo Noguchi, Mitsuhiro Takeda, Junko Sato, Tatsuya Suzuki

Published in: European Journal of Orthopaedic Surgery & Traumatology | Issue 6/2014

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Abstract

Purpose

The purpose of this study was to approach the length of hospital stay (LOS) by patient-dependent determination and evaluate the effect of contralateral total knee arthroplasty (TKA) on LOS in patients with bilateral osteoarthritis undergoing staged bilateral TKAs.

Methods

One hundred sixty TKAs in 80 patients with bilateral osteoarthritis were evaluated by retrospective review of their medical records. All patients had scheduled staged bilateral TKA. We investigated the length of hospital stay in each TKA and the postoperative day when patients could perform walking and climbing up and down the stairs with one cane independently. Range of motion in each knee was also evaluated in preoperatively and before discharge. The median interval between the first and second surgeries was 12 months.

Results

The first and second TKAs showed a median LOS of 37 and 35 days, respectively, with no significant difference (n.s.). The median number of days before independently walking and climbing up and down the stairs with one cane were 8 and 16 after the first TKA and 7 and 15 after the second TKA, respectively, without significant differences (n.s. for walking, n.s. for stairs).

Conclusions

An initial TKA that results in good function might neither facilitate an earlier second rehabilitation nor decrease the LOS. Taking other factors such economics and local conditions that largely influence LOS into account, simultaneous bilateral TKAs might be an effective treatment for bilateral knee arthritis in properly selected patients in terms of decreasing the LOS.
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Metadata
Title
Length of hospital stay with patient-dependent determination in bilateral scheduled staged total knee arthroplasty
Authors
Yoshinori Ishii
Hideo Noguchi
Mitsuhiro Takeda
Junko Sato
Tatsuya Suzuki
Publication date
01-08-2014
Publisher
Springer Paris
Published in
European Journal of Orthopaedic Surgery & Traumatology / Issue 6/2014
Print ISSN: 1633-8065
Electronic ISSN: 1432-1068
DOI
https://doi.org/10.1007/s00590-013-1262-6

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