| Autor: |
Steimle JA; Department of Orthopedics, Grandview Medical Center, Affiliate of Kettering Medical Center and Ohio University Heritage College of Osteopathic Medicine, 405 W. Grand Ave., Dayton, OH 45405, USA., Groover MT; Department of Orthopedics, Grandview Medical Center, Affiliate of Kettering Medical Center and Ohio University Heritage College of Osteopathic Medicine, 405 W. Grand Ave., Dayton, OH 45405, USA., Webb BA; Department of Orthopedics, Grandview Medical Center, Affiliate of Kettering Medical Center and Ohio University Heritage College of Osteopathic Medicine, 405 W. Grand Ave., Dayton, OH 45405, USA., Ceccarelli BJ; Department of Orthopedics, Grandview Medical Center, Affiliate of Kettering Medical Center and Ohio University Heritage College of Osteopathic Medicine, 405 W. Grand Ave., Dayton, OH 45405, USA. |
| Jazyk: |
angličtina |
| Zdroj: |
Surgery research and practice [Surg Res Pract] 2018 Feb 21; Vol. 2018, pp. 9326459. Date of Electronic Publication: 2018 Feb 21 (Print Publication: 2018). |
| DOI: |
10.1155/2018/9326459 |
| Abstrakt: |
Utilizing patient-specific instrumentation during total knee arthroplasty has gained popularity in recent years with theoretical advantages in blood loss, intraoperative time, length of stay, postoperative alignment, and functional outcome, amongst others. No study has compared acute perioperative measures between patient-specific instrumentation and conventional instrumentation in the bilateral total knee arthroplasty setting. We compared patient-specific instrumentation versus conventional instrumentation in the setting of bilateral total knee arthroplasty to determine any benefits in the immediate perioperative period including surgical time, blood loss, pain medication use, length of stay, and discharge disposition. A total of 49 patients with standard instrumentation and 31 patients with patient-specific instrumentation were retrospectively reviewed in a two-year period at one facility. At baseline, the groups were comparable with respect to age, ASA, BMI, and comorbid conditions. We analyzed data on operative time, blood loss, hemoglobin change, need for transfusion, pain medication use, length of stay, and discharge disposition. There was no statistically significant difference between groups in regards to these parameters. Patient-specific instrumentation in the setting of bilateral total knee arthroplasty did not provide any immediate perioperative benefit compared to conventional instrumentation. |
| Databáze: |
MEDLINE |
| Externí odkaz: |
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