Advantages of Simultaneous Cementless Bilateral Unicondylar Knee Arthroplasty Compared to Staged Surgery.

Autor:	Şahin A; Department of Orthopedics and Traumatology, Ankara City Hospital, Ankara, Türkiye., Çepni Ş; Department of Orthopedics and Traumatology, Ankara City Hospital, Ankara, Türkiye., Veizi E; Department of Orthopedics and Traumatology, Ankara City Hospital, Ankara, Türkiye., Erdoğan Y; Department of Orthopedics and Traumatology, Ankara City Hospital, Ankara, Türkiye., Fırat A; Department of Orthopedics and Traumatology, Ankara City Hospital, Ankara, Türkiye., Kılıçarslan K; Department of Orthopedics and Traumatology, Ankara City Hospital, Ankara, Türkiye.
Jazyk:	angličtina
Zdroj:	Clinics in orthopedic surgery [Clin Orthop Surg] 2023 Oct; Vol. 15 (5), pp. 752-759. Date of Electronic Publication: 2022 Oct 20.
DOI:	10.4055/cios22178
Abstrakt:	Background: Unicondylar knee arthroplasty (UKA) is an effective procedure, which reduces pain, increases range of motion, and improves function. UKA could be performed simultaneously or in staged sessions. This study aimed to compare bilateral cementless UKA performed simultaneously and in staged sessions in terms of complications, hemoglobin levels, transfusions, and functional outcomes. Methods: Patients undergoing bilateral UKA for symptomatic medial compartment osteoarthritis were retrospectively analyzed. Of the 73 patients who met the inclusion criteria, 40 underwent surgery simultaneously and 33 underwent surgery in separate sessions. Operative time, length of hospital stay, change in hemoglobin, need for blood transfusion, complications, and functional outcomes were assessed. Results: There was no statistically significant difference between the two groups in demographic data. Simultaneously operated patients had a significantly shorter hospital stay and shorter operative time. Statistically significant improvements in clinical scores were noted in both groups. The degree of improvement in functional scores did not differ between the groups. There was no difference between the two groups in terms of complication rates, but the number of periprosthetic tibial fractures was higher in the simultaneous group. Conclusions: Simultaneous bilateral cementless UKA was more advantageous in terms of cumulative hospital stay and total operation time with similar clinical results when compared to a staged procedure. While the overall complication rate was similar, the rate of periprosthetic fractures was 5% in the simultaneous group. Competing Interests: CONFLICT OF INTEREST: No potential conflict of interest relevant to this article was reported. (Copyright © 2023 by The Korean Orthopaedic Association.)
Databáze:	MEDLINE
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