Bilateral Total Knee Arthroplasty: Current Concepts Review.
| Autor: | Wang KY; Department of Orthopedic Surgery, Columbia University Irving Medical Center, New York, New York., LaVelle MJ, Gazgalis A, Bender JM, Geller JA, Neuwirth AL, Cooper HJ, Shah RP |
|---|---|
| Jazyk: | angličtina |
| Zdroj: | JBJS reviews [JBJS Rev] 2023 Jan 19; Vol. 11 (1). Date of Electronic Publication: 2023 Jan 19 (Print Publication: 2023). |
| DOI: | e22.00194 |
| Abstrakt: | »: Bilateral total knee arthroplasty (BTKA) is an effective surgical treatment for bilateral knee arthritis and can be performed as a simultaneous surgery under a single anesthetic setting or as staged surgeries on separate days. »: Appropriate patient selection is important for simultaneous BTKA with several factors coming into consideration such as age, comorbidities, work status, and home support, among others. »: While simultaneous BTKA is safe when performed on appropriately selected patients, current evidence suggests that the risk of complications after simultaneous BTKA remains higher than for staged BTKA. »: When staged surgery is preferred, current evidence indicates that complication risks are minimized if the 2 knees are staged at least 3 months apart. »: Simultaneous BTKA is the economically advantageous treatment option relative to staged BTKA, primarily because of shorter total operative time and total hospital stay. Competing Interests: Disclosure: The Disclosure of Potential Conflicts of Interest forms are provided with the online version of the article (http://links.lww.com/JBJSREV/A899). (Copyright © 2023 by The Journal of Bone and Joint Surgery, Incorporated.) |
| Databáze: | MEDLINE |
| Externí odkaz: |
|