Simultaneous Bilateral Joint Arthroplasties in Treatment of Osteoarthritis

Abstract

Osteoarthrosis is the most common chronic joint condition, the aetiology of which is still not completely clear. Initial phases of disease are treated conservatively applying physical rehabilitation procedures and medications. Advanced stages need surgical treatment with numerous procedures, depending on the joint affected. Joint arthroplasties are procedure of choice, especially for big joints of the extremities. As osteoarthrosis occurs bilaterally very frequently, there are a growing number of patients in need for operation of both joints. Those procedures can be performed under single anaesthesia or staged procedure, with delay between two surgeries. There are many advantages and disadvantages of both approaches cited by different authors. There is consensus of authors in available articles regarding benefits of single-stage procedure: lower cost, shorter hospital stay, single rehabilitation period and better functional results. Authors disagree about safety of a single-stage bilateral procedure as well as incidence of complications and criteria for selection of patients for safe performing of simultaneous procedure.

Intraoperative Periprosthetic Fractures in Total Hip Arthroplasty in Patients With Sickle Cell Disease at King Fahad Hospital Hofuf: A Cross-Sectional Study

“…To determine if BMI was associated with greater risk, we used the following BMI categories: underweight = <18.5, healthy weight range = 18.5-24.9, overweight = 25-29.9, class 1 obesity = 30 to <35, class 2 obesity = 35 to <40, and class 3 obesity = ≥40. To determines which ASA classification had more risk, we used the flowing categories: ASA 1: a normal healthy patient, ASA 2: a patient with mild systemic disease, ASA 3: a patient with a serious, non-life-threatening systemic disease, ASA 4: a patient with a serious, life-threatening systemic disease, ASA 5: a morbid patient not expected to survive without surgery, and ASA 6: a brain-dead patient [ 20 ]. The preoperative Hb levels were classified into 6-9 g/dl, 10-12 g/dl, and >13 g/dl.…”

The letter to Anna Palaiologina of Gregory Palamas (with the edition of the Serbian Church Slavonic translation from codex 41 of the Monastery of the holy trinity of Pljevlja)

“…На различитим пописима навођени су различити преписи тог превода. Упућивано је, тако, или на два -на онај из Хиландара (474, 340v-341v) и на онај из Универзитетске библиотеке у Београду (28, 321v-322v) 95 -или пак на три, 96 приликом чега су поменутом из Универзитетске библиотеке у два наврата придруживани преписи из Народне библиотеке Србије (43, 415v) и онај из Југославенске академије знаности и умјетности (III а 47, 706r-707r), али уз изузеће преписа који је заправо најстарији: оног из Хиландара. 97 Тако испада да, умјесто најприје детектоване двије, односно три, заправо постоје четири преписа ове Паламине посланице, 98 којима сада придружујем и пети -онај који се налази у Зборнику 41 рукописне библиотеке Манастира Свете Тројице код Пљеваља (328v-331r).…”