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International Orthopaedics
Published in: International Orthopaedics 7/2020

01-07-2020 | Osteoarthrosis | Original Paper

Simultaneous single-stage versus two-staged bilateral total knee arthroplasty: a prospective comparative study

Authors: Tarun Goyal, Md. Quamar Azam, Anjum Syed, Souvik Paul

Published in: International Orthopaedics | Issue 7/2020

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Abstract

Purpose

The study aims to prospectively compare peri-operative morbidity and mortality of simultaneous single-stage bilateral total knee arthroplasty (SS BLTKA) with two-staged bilateral total knee arthroplasty (TS BLTKA) performed within 12 months of the first surgery. We hypothesized that SS BLTKA is as safe as TS BLTKA.

Methods

Patients with a minimum follow-up of 12 months were included in this study. Oxford knee score and quality of life index SF12 was compared between the 2 groups at six weeks and six month follow-up.

Results

SS BLTKA included 250 patients and TS BLTKA included 210 patients. The minimum time interval between two operations was three weeks (mean 1.6 months, range 3 weeks-12 months). There was no significant difference between the 2 groups in peri-operative mortality, surgical site infection, major peri-operative complications. There was no difference between the 2 groups in the Oxford knee score and quality of life index SF12 at 6-month follow-up. There was no difference in the range of knee flexion between the 2 groups at six months. Post-operative haemoglobin drop was significantly more in SS BLTKA patients and consequently, blood transfusion requirement was significantly higher in SS BLTKA. There was a significantly higher length of hospital stay and duration of surgery in TS BLTKA group.

Conclusion

There does not appear to be a difference in complication rates between the 2 groups. SS BLTKA seems to be a logical choice if both knees have severe osteoarthritis. Patients with severe cardiopulmonary compromise were excluded, and a unilateral procedure may be preferred in them.
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Metadata
Title
Simultaneous single-stage versus two-staged bilateral total knee arthroplasty: a prospective comparative study
Authors
Tarun Goyal
Md. Quamar Azam
Anjum Syed
Souvik Paul
Publication date
01-07-2020
Publisher
Springer Berlin Heidelberg
Published in
International Orthopaedics / Issue 7/2020
Print ISSN: 0341-2695
Electronic ISSN: 1432-5195
DOI
https://doi.org/10.1007/s00264-020-04642-6

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