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Archives of Orthopaedic and Trauma Surgery

Published in:

08-09-2021 | Osteoarthrosis | Knee Arthroplasty

Medium-term outcomes in single anaesthetic bilateral total knee replacement surgery: a single surgeon series

Authors: M. J. Kelly, J. F. Quinlan, C. Frampton, J. A. Matheson

Published in: Archives of Orthopaedic and Trauma Surgery | Issue 10/2022

Abstract

Background

The lifetime risk of developing symptomatic knee osteoarthritis (OA) is estimated to be 45%, with up to two thirds of patients presenting with bilateral knee symptoms. Patients presenting with end stage bilateral knee OA may benefit from single anaesthetic bilateral total knee replacement (SABTKR). Our study aim was to compare the outcomes of SABTKR with unilateral total knee arthroplasty (TKA) in a single surgeon series over a 20 year period.

Methods

We performed a retrospective review of a single surgeon’s data from the New Zealand Joint Registry (NZJR) over a 20-year period from January 1999 to December 2018. This review reports on patient demographics, functional outcomes, revision rates and mortality rates.

Results

1225 total knee replacements were performed by the senior author (995 TKAs and 115 patients underwent SABTKRs) over the 20 year period reviewed. The mean ages of the TKA and SABTKR groups were 67.7 and 66.7 years, respectively. There was 16.9% mortality rate for the TKA group versus 7.8% in SABTKR group. There were no revisions in the SABTKR group versus 17 revisions in the TKA group representing a revision rate of 0.23/100 component years which can be viewed against a 20 year revision rate of 0.48/100 component years (p < 0.05) for all comers in the NZJR.

Conclusion

This NZJR study demonstrates excellent medium term survival outcomes for selected patients having simultaneous bilateral total knee replacements.

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Title: Medium-term outcomes in single anaesthetic bilateral total knee replacement surgery: a single surgeon series
Authors: M. J. Kelly
J. F. Quinlan
C. Frampton
J. A. Matheson
Publication date: 08-09-2021
Publisher: Springer Berlin Heidelberg
Keywords: Osteoarthrosis
Knee-TEP
Knee-TEP
Osteoarthrosis
Published in: Archives of Orthopaedic and Trauma Surgery / Issue 10/2022
Print ISSN: 0936-8051
Electronic ISSN: 1434-3916
DOI: https://doi.org/10.1007/s00402-021-04151-0

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Medium-term outcomes in single anaesthetic bilateral total knee replacement surgery: a single surgeon series

Abstract

Background

Methods

Results

Conclusion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Background

Methods

Results

Conclusion

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