Medical College of Wisconsin
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Perioperative Outcomes Following Unilateral Versus Bilateral Total Knee Arthroplasty. J Arthroplasty 2015 Nov;30(11):1927-30 PMID: 26072300

Pubmed ID

26072300

DOI

10.1016/j.arth.2015.05.039

Abstract

Simultaneous bilateral total knee arthroplasty (SB-TKA) is potentially a cost saving manner of caring for patients with bilateral symptomatic knee arthritis. We performed a retrospective analysis using the 2010-2012 American College of Surgeons National Surgical Quality Improvement Program (ACS-NSQIP) to evaluate the risk of perioperative complication following SB-TKA. Demographic characteristics, comorbidities, and 30-day complication rates were studied using a propensity score-matched analysis comparing patients undergoing unilateral TKA and SB-TKA. A total of 4489 patients met the inclusion criteria, of which 973 were SB-TKA. SB-TKA was associated with increased overall complications (P = 0.023), medical complications (P = 0.002) and reoperation (OR 2.12, P = 0.020). Further, total length of hospital stay (4.0 vs 3.4 days, P < 0.001) was significantly longer following bilateral surgery.

Author List

Suleiman LI, Edelstein AI, Thompson RM, Alvi HM, Kwasny MJ, Manning DW

Author

Adam I. Edelstein MD Assistant Professor in the Orthopaedic Surgery department at Medical College of Wisconsin




Scopus

2-s2.0-84948713390   12 Citations

MESH terms used to index this publication - Major topics in bold

Aged
Arthroplasty, Replacement, Knee
Comorbidity
Female
Humans
Length of Stay
Male
Middle Aged
Osteoarthritis, Knee
Outcome Assessment (Health Care)
Postoperative Complications
Propensity Score
Quality Improvement
Reoperation
Retrospective Studies
United States
jenkins-FCD Prod-353 9ccd8489072cb19f5b9f808bb23ed672c582f41e