scholarly journals Simultaneous Bilateral Versus Staged Bilateral Total Knee Arthroplasty: Risks and Benefits

2021 ◽  
Vol 4 (2) ◽  
Author(s):  
Saad Tarek A ◽  
Mostafa Mohamed ◽  
Mohammad Molham M
Keyword(s):  
Total Knee Arthroplasty ◽  
Knee Arthroplasty ◽  
Bilateral Total Knee Arthroplasty ◽  
Risks And Benefits ◽  
Total Knee

Risks and Benefits of Simultaneous Bilateral Total Knee Arthroplasty

JBJS Reviews ◽  
2015 ◽  
Vol 3 (2) ◽  
Author(s):  
John P. Meehan ◽  
Thomas J. Blumenfeld ◽  
Richard H. White ◽  
Jason Kim ◽  
Mark Sucher
Keyword(s):  
Total Knee Arthroplasty ◽  
Knee Arthroplasty ◽  
Bilateral Total Knee Arthroplasty ◽  
Risks And Benefits ◽  
Total Knee

Should Sequential Bilateral Total Knee Arthroplasty Be Limited to Patients Younger than 80? A Two-Arm Propensity Matched Study

2020 ◽  
Author(s):  
Antonio Klasan ◽  
Sven Edward Putnis ◽  
Wai Weng Yeo ◽  
Darli Myat ◽  
Brett Andrew Fritsch ◽  
...  
Keyword(s):  
Total Knee Arthroplasty ◽  
Patient Selection ◽  
Knee Arthroplasty ◽  
Major Complication ◽  
The Elderly ◽  
Complication Rates ◽  
Bilateral Total Knee Arthroplasty ◽  
Proper Patient Selection ◽  
Patient Reported ◽  
Total Knee

AbstractDespite multiple studies, there remains a debate on the safety of bilateral total knee arthroplasty (BTKA) in the average age patient, with a paucity of data on the outcome of BTKA in an elderly population. This study included 89 patients aged 80 years and older undergoing sequential BTKA over 14 years were identified in a prospectively collected database. Two matched comparison groups were created: patients under 80 undergoing sequential BTKA and patients over 80 undergoing unilateral TKA (UTKA). An analysis of complications, mortality, revision, and patient-reported outcome measures was performed. Mean age of the elderly cohorts was similar: 82.6 for BTKA and 82.9 for UTKA. The average age BTKA cohort had a mean age of 69.1. Complication rates were higher in bilateral cohorts, more so in the elderly BTKA cohort. Pulmonary embolism (PE) was observed in bilateral cohorts only. In these patients, history of PE and ischemic heart disease was a strong predictive factor for developing a major complication. There was no difference in revision rates and infection rates between the three cohorts, and no difference in patient survivorship between the two elderly cohorts. Through the combination of low revision and high survivorship rates and comparable clinical outcomes, this article demonstrates that simultaneous BTKA is an appropriate option to consider for an elderly patient, with proper patient selection and perioperative management. The demonstrated risk groups show that emphasis on patient selection should be focused on medical history rather than chronological age.

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