Same-Day Surgery Does Not Increase the Manipulation Under Anesthesia and Reoperation Rates for Stiffness Following Bilateral Total Knee Arthroplasty
Autor: | Matthias Pumberger, Thomas P. Sculco, Stavros G. Memtsoudis, Florian Wanivenhaus, Lazaros Poultsides, Georgios K. Triantafyllopoulos |
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Rok vydání: | 2019 |
Předmět: |
Adult
Male Reoperation medicine.medical_specialty animal structures genetic structures Adolescent Knee Joint Total knee arthroplasty 03 medical and health sciences symbols.namesake Young Adult 0302 clinical medicine Postoperative Complications medicine Humans Orthopedics and Sports Medicine In patient Anesthesia Knee Range of Motion Articular Arthroplasty Replacement Knee Child Fisher's exact test Aged Aged 80 and over 030222 orthopedics Univariate analysis Chi-Square Distribution business.industry Incidence (epidemiology) Incidence Middle Aged medicine.disease Comorbidity Musculoskeletal Manipulations Surgery symbols Female New York City Range of motion business Manipulation under anesthesia |
Zdroj: | The Journal of arthroplasty. 34(11) |
ISSN: | 1532-8406 |
Popis: | Background There is a paucity of data on the incidence of stiffness and need for subsequent manipulation under anesthesia (MUA) and reoperation following same-day bilateral total knee arthroplasty (BTKA). We compared the rates of at least 1 MUA, bilateral knee involvement, single and multiple MUA rates, and stiffness-related reoperation rates between patients undergoing same-day, same-admission staged, and staged within 1 year BTKA in a tertiary institution. Methods We analyzed institutional data for 3175 same-day (group A), 153 same-admission staged (group B), and 1226 staged within 1 year BTKA patients (group C) from 1998 to 2009. Several variables, including patient demographics, comorbidity profile, Charlson-Deyo index, and range of motion at different time points, were tabulated. Follow-up was minimum 1 year after first MUA. Univariate analyses were performed using the Wilcoxon rank-sum or Kruskal-Wallis test, and Fisher exact or the chi-square test for continuous and categorical variables, respectively. The Cochran-Armitage trend test was used to check the bilateral knee involvement rate across groups. Results Overall, 2.2% (98/4554) of BTKA patients required MUA. The rate of at least 1 MUA was similar across groups but the percentage of bilateral knee involvement was higher in group A. The single MUA rate was comparable among groups. Both no revision and revision reoperation rates were similar among the manipulated groups. Conclusion Same-day BTKA was not associated with increased incidence of single or multiple MUA and stiffness-related reoperation rates. These findings may facilitate preoperative counseling in patients with symptomatic bilateral knee disease, eligible for same-day BTKA. |
Databáze: | OpenAIRE |
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