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Simultaneous Bilateral Total Knee Arthroplasty May be Safe.
Julio Cesar Gali1, Anna Flavia de Crescenzo Brotto1, Danilo Pássaro Pires de Mello1
1Departamento de Ortopedia e Traumatologia da Faculdade de Ciências Médicas e da Saúde de Sorocaba, Pontifícia Universidade Católica de São Paulo, Sorocaba, SP, Brasil.
Revista Brasileira De Ortopedia
|July 3, 2023
Summary
Simultaneous bilateral total knee arthroplasty (SBTKA) is a safe procedure for selected patients when a careful protocol is followed. Patients overwhelmingly preferred the simultaneous approach over staged procedures.
Area of Science:
- Orthopedic Surgery
- Arthroplasty
- Patient Safety
Background:
- Simultaneous bilateral total knee arthroplasty (SBTKA) offers potential benefits but requires careful safety evaluation.
- Assessing patient satisfaction is crucial for procedure adoption.
Purpose of the Study:
- To analyze the safety of simultaneous bilateral total knee arthroplasty (SBTKA).
- To investigate patient satisfaction with SBTKA compared to staged procedures.
Main Methods:
- Prospective evaluation of 45 patients undergoing SBTKA.
- Monitoring of intraoperative and postoperative measures, including surgery time, blood loss (hematocrit and hemoglobin levels), and transfusion rates.
- Recording of perioperative complications and patient preference at 3 months.
Main Results:
- Mean surgery time was 169 minutes.
- Average decrease in hematocrit and hemoglobin was 28.2% and 27.0%, respectively.
- 35.5% of patients received packed red blood cell transfusions; 4.4% experienced major complications, with no deaths or deep vein thrombosis cases.
Conclusions:
- SBTKA can be considered safe in selected patients with a dedicated care protocol.
- Patients unanimously approved of the simultaneous bilateral total knee arthroplasty procedure.
