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Related Experiment Video

Updated: Jun 4, 2026

Treatment of Ankle Osteoarthritis with Total Ankle Replacement Through a Lateral Transfibular Approach
09:01

Treatment of Ankle Osteoarthritis with Total Ankle Replacement Through a Lateral Transfibular Approach

Published on: January 24, 2018

Fast-track surgery for bilateral total knee replacement.

H Husted1, A Troelsen, K S Otte

  • 1Department of Orthopaedics, Hvidovre University Hospital, Copenhagen, Denmark. henrikhusted@dadlnet.dk

The Journal of Bone and Joint Surgery. British Volume
|March 2, 2011
PubMed
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Bilateral simultaneous total knee replacement (TKR) is safe and effective, showing similar or better outcomes than unilateral TKR. This fast-track procedure offers excellent results for patients undergoing total knee replacement.

Area of Science:

  • Orthopedic Surgery
  • Arthroplasty
  • Reconstructive Surgery

Background:

  • Concerns exist regarding increased morbidity and mortality with bilateral simultaneous total knee replacement (TKR).
  • Fast-track surgical protocols aim to optimize patient recovery and outcomes.
  • Comparative data on simultaneous versus unilateral TKR within fast-track settings are limited.

Purpose of the Study:

  • To compare the outcomes of bilateral simultaneous TKR with unilateral TKR in a standardized fast-track setting.
  • To evaluate morbidity, mortality, patient satisfaction, functional recovery, and return to daily activities.
  • To assess the safety and efficacy of bilateral simultaneous TKR as a fast-track procedure.

Main Methods:

  • Analysis of 150 consecutive bilateral simultaneous TKRs and 271 unilateral TKRs performed between 2003 and 2009.

Related Experiment Videos

Last Updated: Jun 4, 2026

Treatment of Ankle Osteoarthritis with Total Ankle Replacement Through a Lateral Transfibular Approach
09:01

Treatment of Ankle Osteoarthritis with Total Ankle Replacement Through a Lateral Transfibular Approach

Published on: January 24, 2018

  • Procedures conducted within a standardized fast-track surgical setting.
  • Comparative assessment of outcomes at three months and two years post-surgery.

    • Main Results:

    • Bilateral simultaneous TKR patients stayed longer in hospital (mean 4.7 days vs. 3.3 days) and required more blood transfusions.
    • Morbidity, mortality, patient satisfaction, range of motion, pain levels, and functional recovery were similar or better in the bilateral group.
    • Return to work and activities of daily living showed comparable or improved results for bilateral simultaneous TKR.

    Conclusions:

    • Bilateral simultaneous total knee replacement can be safely performed as a fast-track procedure.
    • Excellent clinical outcomes and functional recovery are achievable with bilateral simultaneous TKR.
    • The procedure demonstrates comparable or superior results to unilateral TKR in key outcome measures.