Investigation of perioperative safety and clinical results of one-stage bilateral total knee arthroplasty in selected low-risk patients

Autor: Tomonori Kinugasa, Kotaro Ikeda, Hirotaka Mutsuzaki, Tetsuya Komatsuzaki, Arata Watanabe
Rok vydání: 2017
Předmět:
Male
medicine.medical_specialty
lcsh:Diseases of the musculoskeletal system
Blood transfusion
Complications
Knee Joint
medicine.medical_treatment
Blood Loss
Surgical
Osteoarthritis
Risk Assessment
03 medical and health sciences
Hemoglobins
0302 clinical medicine
Postoperative Complications
lcsh:Orthopedic surgery
Anesthesiology
One-stage bilateral total knee arthroplasty
Medicine
Humans
Orthopedics and Sports Medicine
Blood Transfusion
030212 general & internal medicine
Myocardial infarction
Range of Motion
Articular
Arthroplasty
Replacement
Knee
Aged
Retrospective Studies
030222 orthopedics
business.industry
Blood loss
Retrospective cohort study
Perioperative
Middle Aged
Osteoarthritis
Knee
medicine.disease
Pulmonary embolism
Surgery
lcsh:RD701-811
Treatment Outcome
Orthopedic surgery
Clinical results
Female
Patient Safety
lcsh:RC925-935
Safety
business
Research Article
Zdroj: Journal of Orthopaedic Surgery and Research
Journal of Orthopaedic Surgery and Research, Vol 13, Iss 1, Pp 1-5 (2018)
ISSN: 1749-799X
Popis: Background An increased perioperative complication rate has been a concern with one-stage bilateral total knee arthroplasty (TKA). The purpose of this study was to retrospectively investigate the perioperative safety and clinical results of one-stage bilateral TKA in selected low-risk patients. Methods Sixty-seven patients who received one-stage bilateral TKAs for osteoarthritis who were American Society of Anesthesiology (ASA) class 1 or 2 were included in this study. Perioperative complications, blood loss, transfusion rate, blood laboratory results, and clinical results were evaluated up to 1 year after surgery. Results No major complications (deep infection, pulmonary embolism, cerebrovascular accident, myocardial infarction, death, or removal or revision of the implants) were observed. The average total blood loss was 1139.5 ml. The transfusion rate was 95.5%. Postoperative hemoglobin level and C-reactive protein level gradually improved up to postoperative day 21 (P
Databáze: OpenAIRE
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