An evaluation of the safety and efficacy of simultaneous bilateral total knee arthroplasty

Leonard, Larry G.; Williamson, D; Ivory, J.; Jennison, Chris

doi:10.1016/s0883-5403(03)00282-1

Cited by 111 publications

(69 citation statements)

References 17 publications

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“…These authors have demonstrated excellent patient satisfaction, equivalent pain scores, similar narcotic use, and equivalent walking distance in simultaneous bilateral TKA compared with unilateral or staged procedures [12,24,30]. Although not directly comparable to our results due to the heterogeneity of the measured outcomes, there does appear to be some potential functional benefit of simultaneous knee arthroplasty, whether total or unicompartmental.…”

Section: Discussioncontrasting

confidence: 50%

“…Comparatively, several authors have demonstrated benefit with bilateral simultaneous surgery for total knee arthroplasty [12,24,30]. These authors have demonstrated excellent patient satisfaction, equivalent pain scores, similar narcotic use, and equivalent walking distance in simultaneous bilateral TKA compared with unilateral or staged procedures [12,24,30].…”

Section: Discussionmentioning

confidence: 99%

“…Advocates of simultaneous TKA have cited benefits of a single anesthetic, shorter cumulative hospital stays, patient convenience and satisfaction, and increased cost effectiveness for the healthcare system without increasing perioperative morbidity and mortality and without compromising the clinical outcomes of the operation [8, 9, 11, 12, 17, 18, 24, 27-30, 32, 35]. Opponents of the simultaneous approach cite increased perioperative complications, including pulmonary embolism, major cardiac events, ileus, higher transfusion rates, confusion, and death [1,4,12,15,21,23,27,33,35]. Concern also exists regarding the financial disincentive to the surgeon for performing bilateral simultaneous arthroplasty procedures [2,6,28].…”

Section: Introductionmentioning

confidence: 99%

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Perioperative Complications of Simultaneous versus Staged Unicompartmental Knee Arthroplasty

Berend¹,

Morris²,

Skeels³

et al. 2011

Clinical Orthopaedics &Amp; Related Research

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Section: Discussioncontrasting

confidence: 50%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Perioperative Complications of Simultaneous versus Staged Unicompartmental Knee Arthroplasty

Berend¹,

Morris²,

Skeels³

et al. 2011

Clinical Orthopaedics &Amp; Related Research

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“…The greater amount of acute blood loss, which caused greater fluid shift and consequently resulted in cardiopulmonary complications, was reported for the simultaneous bilateral procedures but not for the staged unilateral procedures [6,9,11]. Also, the risk of transfusion complications increases with increasing amounts of allogeneic transfusions [4].…”

Section: Discussionmentioning

confidence: 99%

“…Also, increased blood loss from the bilateral simultaneous procedures poses greater risks for hemodynamic complications and transfusion-related problems [9,11].…”

Section: Introductionmentioning

confidence: 99%

Simultaneous Bilateral MIS-TKA Results in Faster Functional Recovery

Han

Seong

Lee

et al. 2008

Clinical Orthopaedics &Amp; Related Research

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Simultaneous bilateral TKAs subject patients to more arduous and painful functional recovery and increased risk of hemodynamic complications than staged bilateral TKAs. Minimally invasive TKA (MIS-TKA) reportedly results in more rapid return of function by limiting the amount of soft tissue disruption. We asked whether bilateral MIS-TKA had advantages over conventional TKA with respect to faster functional recovery. We prospectively randomized 30 patients into an MIS group (mini-medial parapatellar approach, 15 patients) and a conventional group (conventional medial parapatellar approach, 15 patients). We recorded range of motion and the time required to regain the ability to walk without assistance. Functional recovery in the MIS group was faster in rehabilitation milestones of walking without assistance and gain in range of motion. Minimally invasive TKA may benefit patients undergoing simultaneous bilateral procedures with faster functional recovery. Level of Evidence: Level II, therapeutic study. See the Guidelines for Authors for a complete description of levels of evidence.

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