Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Simultaneous primary and contralateral revision total knee arthroplasty.

M D Ries1

  • 1Department of Orthopaedic Surgery, UCSF Medical Center, San Francisco, California 94143-0728, USA.

The American Journal of Knee Surgery
|May 14, 1999
PubMed
Summary

Performing sequential primary and contralateral total knee arthroplasty (TKA) under one anesthetic resulted in improved knee function for survivors but carried significant risks. This complex procedure should be reserved for very healthy patients.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Management of contained medial [protrusiol] acetabular defects in revision total hip arthroplasty.

Surgical technology international·2010
Same author

Delamination of a highly cross-linked polyethylene liner associated with titanium deposits on the cobalt-chromium modular femoral head following dislocation.

The Journal of bone and joint surgery. British volume·2010
Same author

Factors affecting stability of press fit acetubular cups.

Surgical technology international·2003
Same author

Relationship between gravimetric wear and particle generation in hip simulators: conventional compared with cross-linked polyethylene.

The Journal of bone and joint surgery. American volume·2001
Same author

Wear performance of ultra-high molecular weight polyethylene on oxidized zirconium total knee femoral components.

The Journal of bone and joint surgery. American volume·2001
Same author

New polys for old: contribution or caveat?

The Journal of bone and joint surgery. American volume·2001

Area of Science:

  • Orthopedic Surgery
  • Arthroplasty Research

Background:

  • Total knee arthroplasty (TKA) is a common procedure for knee osteoarthritis.
  • Revision TKA addresses complications or failures of primary TKA.
  • Simultaneous bilateral procedures can offer patient convenience but may increase surgical burden.

Purpose of the Study:

  • To evaluate the safety and efficacy of performing primary and contralateral revision total knee arthroplasty (TKA) sequentially under a single anesthetic.
  • To assess outcomes, including complications, blood loss, operative time, and functional improvement.

Main Methods:

  • A sequential, single-anesthetic approach was used for seven patients undergoing primary and contralateral revision TKA.
  • Data collected included patient demographics, operative details, blood loss, hospital stay, and postoperative complications.

Related Experiment Videos

Main Results:

  • Average patient age was 67.6 years. Average blood loss was 764 cc, operative time 269 minutes, and hospital stay 9.6 days.
  • One patient died from pulmonary embolism; another developed a deep infection.
  • Surviving patients showed improved knee pain and function, but two major complications occurred in this small cohort.

Conclusions:

  • Sequential primary and contralateral revision TKA under one anesthetic can improve knee function but is associated with significant risks.
  • The procedure is technically demanding and carries a high complication rate, including mortality and infection.
  • This approach should be strictly limited to exceptionally healthy patients with uncomplicated knee reconstructions.