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Simultaneous bilateral total knee replacement.

J M Lopez1, M Sivanantham

  • 1Tawakal Hospital, Jalan Pahang, Kuala Lumpur.

The Medical Journal of Malaysia
|September 1, 2000
PubMed
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Bilateral simultaneous total knee replacement (BSTKR) offers encouraging outcomes for degenerative arthritis patients. This cost-effective procedure shows high success rates, recommending its routine practice when feasible.

Area of Science:

  • Orthopedic Surgery
  • Rheumatology

Background:

  • Degenerative arthritis significantly impacts patient quality of life.
  • Unilateral staged knee replacement is a common treatment option.

Purpose of the Study:

  • To evaluate the efficacy and safety of bilateral simultaneous total knee replacement (BSTKR).
  • To compare BSTKR outcomes with unilateral staged knee replacement in terms of benefits, safety, and cost-effectiveness.

Main Methods:

  • Retrospective analysis of 21 patients undergoing BSTKR at Tawakal Hospital (Jan 1994 - Nov 1995).
  • Results assessed using the Hospital for Special Surgery scoring system.

Main Results:

  • Preliminary observations showed 90% excellent, 8% good, and 2% fair results.

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  • BSTKR demonstrated potential benefits, safety, and cost-effectiveness compared to unilateral staged procedures.

    • Conclusions:

    • BSTKR is a viable and effective treatment for degenerative arthritis.
    • The procedure is recommended for routine practice in suitable cases with available expertise and facilities.