Risk and Benefits of Bilateral Total Knee Replacement Surgery

Vulcano, Ettore; Valle, Alejandro González Della; Memtsoudis, Stavros G.

doi:10.1007/978-1-4614-0100-1_23

Cited by 1 publication

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References 97 publications

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“…We reviewed a total of 33 comparative studies on BTKR surgery. 58 Seven studies reported significant differences in local complication rates: Three studies observed higher complication rates in the UTKR group with respect to either single-stage or staged BTKR groups 10,25,59 ; four studies observed higher local complication rates in the single-stage BTKR groups than in the UTKR group 3,10,60,61 ; and two studies reported higher local complication rates in the staged BTKR group versus the UTKR group. 3,60 Finally, one study observed higher local complication rates in the staged BTKR group compared with the single-stage BTKR group.…”

Section: Concerns With Single-stage Bilateral Total Knee Replacementmentioning

confidence: 96%

Bilateral Total Knee Arthroplasty Guidelines: Are We There Yet?

2013

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The proportion of bilateral total knee replacements (BTKR) to unilateral total knee replacement (UTKR) in the United States is increasing. From 1990 to 2004, the use of BTKRs more than doubled for the entire civilian population and almost tripled among the female population. BTKRs can be performed in a single-stage or a staged procedure. Supporters of single-stage BTKR point out its low complication rates, high patient satisfaction, and cost-effectiveness. Others strongly believe that BTKR performed during the same anesthetic session is associated with increased morbidity and mortality. Single-stage BTKR surgery aims at reducing the exposure to repeated anesthesia, total hospitalization and recovery time, and cost, while maintaining patient safety and reducing the negative clinical and functional outcomes observed in patients undergoing UTKR or staged BTKR. This article presents the current concepts and controversies around BTKR surgery based on the authors' body of research and a review of the literature. We also present our institutional guidelines for candidates for single-stage BTKR.

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