Comparison of the Effect and Complications of Sequential Bilateral Arthroplasty at Different Time Intervals and Simultaneous Bilateral Total Knee Arthroplasty: A Single-Centre Retrospective Cohort Study

Autor: Xingbo Long, Cunping Wang, Yanan Xu, Qingyun Xue, Lei Shi, Chengbin Wang, Shenqi Zhang, Fengyan Wang, Xiaolin Ni, Benlong Wang
Rok vydání: 2021
Předmět:
Zdroj: Advances in Therapy. 38:5191-5208
ISSN: 1865-8652
0741-238X
DOI: 10.1007/s12325-021-01880-x
Popis: To the authors' knowledge, there is no current consensus regarding the optimal interprocedural interval for patients who have undergone bilateral total knee arthroplasty (BTKA). The purpose of this study is to evaluate complication rates and functional outcome in patients who have undergone BTKA (simultaneous or sequential at different time intervals), and to determine an optimal time frame for the second knee. Data from 315 patients who were able to tolerate simultaneous BTKA according to the anaesthesiologist’s preoperative assessment between 2016 and 2020 were analysed retrospectively. According to the operative time interval, they were divided into simultaneous, ≤ 1-month sequential, 1- to 3-month sequential, and ≥ 3-month sequential BTKA groups. The primary outcomes were revision and readmission rates during the follow-up period, and the secondary outcomes were hospital length of stay (LOS), transfusion and postoperative complications. There was no difference in the implant survival or readmission rate between the groups (p > 0.05). Multivariable linear regression showed that interprocedural interval and body mass index (BMI) affected LOS; the LOS of simultaneous BTKA was the shortest (p
Databáze: OpenAIRE
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