Functional outcome of bilateral total knee arthroplasty: A two-year prospective study
Journal Title: International Journal of Orthopaedics Sciences - Year 2017, Vol 3, Issue 2
Abstract
The wider adoption of simultaneous bilateral TKA has been limited due to the reports of the associated risk of mortality and perioperative complications. The present study evaluated the safety of single-stage bilateral total knee arthroplasty, in terms of perioperative morbidity, mortality and clinical outcomes of the procedure. The two-year prospective study was conducted on 100 knees of fifty patients who visited the Department of orthopaedics of a super speciality hospital, based in India. Detailed history was collected and clinical examination of the knees was performed in all the patients. Pre-and postoperative knee scores were calculated using modified Install’s knee society scoring system. Postoperative knee society score was recorded up to 12 months of follow-up. Perioperative complications were noted in 8 subjects. Groups with and without complications were compared for various assessed variables, and the correlation between hospital stay and different demographic and clinical variables were studied by Spearman correlation. Out of the 50 subjects who underwent bilateral TKA, perioperative complications were noted in 16% of the subjects. Major complications like DVT, pulmonary embolism, myocardial infarction and death were not reported in any of the cases. A significant number of patients (37.5%) belonging to the complication group underwent secondary procedures. The duration of hospital stay was found to be significantly associated with comorbidities, and perioperative complications. Simultaneous bilateral TKA is a safe procedure, providing satisfactory functional outcomes. Comorbidities of the patients has been noted as the major factor contributing to increased hospital stay
Authors and Affiliations
Dr. Prakash Savakkanavar, Dr. Shekar M
Keywords
Related Articles
- EP ID EP501351
- DOI 10.22271/ortho.2017.v3.i2c.28
- Views 107
- Downloads 0
Long term outcome of lower end radius fractures treated with locking plates
Introduction: Fractures of distal end radius account for one sixth of all fractures that are seen and treated by orthopaedic surgeons. Increasing functional demand and improved methodologies of achieving and maintaining...
Clinical, MRI findings and arthroscopic correlation of the posterior horn meniscal injuries of the knee joint
The knee joint is one of the most commonly injured joint due to sports activities fall from a bike and fall at home so they come with pain especially in acute condition its very difficult to rely only on the clinical exa...
Evaluation of serum bone specific alkaline phosphatase levels in isolated closed diaphyseal fractures of long bones in relation to fracture healing
Introduction: In day-to-day practice, progression of bone healing is assessed mainly by clinico-radiological parameters. Furthermore, clinicians are unable to identify the delayed and non-unions early, and even advanced...
Electrophysiological and functional outcome after carpal tunnel release in patients with carpal tunnel syndrome: A prospective evaluation
Background: The Carpal tunnel syndrome (CTS) is median nerve entrapment neuropathy at wrist and is one of the commonly diagnosed disabling condition of the upper extremity. The only scientifically established disease mod...
Accuracy of free hand technique of transpedicular screw fixation in correction of spinal deformities
Introduction: Pedicular screw fixation is now the novel technique to correct spinal deformities. Navigation or CT guided systems are not easily available in Indian scenario. Free hand technique of pedicle screw insertion...