Perioperative Outcomes Following Unilateral Versus Bilateral Total Knee Arthroplasty. J Arthroplasty 2015 Nov;30(11):1927-30
Date
06/15/2015Pubmed ID
26072300DOI
10.1016/j.arth.2015.05.039Scopus ID
2-s2.0-84948713390 (requires institutional sign-in at Scopus site) 25 CitationsAbstract
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 DWMESH terms used to index this publication - Major topics in bold
AgedArthroplasty, Replacement, Knee
Comorbidity
Female
Humans
Length of Stay
Male
Middle Aged
Osteoarthritis, Knee
Postoperative Complications
Propensity Score
Quality Improvement
Reoperation
Retrospective Studies
United States