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Bilateral Attenborough total knee replacement as a single procedure.
Archives of Orthopaedic and Traumatic Surgery. Archiv Fur Orthopadische Und Unfall-Chirurgie
|January 1, 1983
Summary
Simultaneous bilateral Attenborough Total Knee Replacement offers benefits for severe knee arthritis. This procedure allows early mobilization, reduces hospital stays, and avoids a second anesthetic without increasing complications.
Area of Science:
- Orthopedic Surgery
- Biomedical Engineering
Background:
- Severe bilateral knee arthritis necessitates effective treatment options.
- Unilateral knee replacement is a common procedure, but bilateral cases present unique challenges.
Purpose of the Study:
- To present a series of simultaneous bilateral Attenborough Total Knee Replacement cases.
- To evaluate the safety and efficacy of this approach for severe bilateral knee arthritis.
Main Methods:
- A retrospective case series of 19 patients undergoing simultaneous bilateral Attenborough Total Knee Replacement.
- Utilized a semi-constrained prosthesis designed for early mobilization.
Main Results:
- Early mobilization was feasible with the Attenborough prosthesis.
- No increase in usual surgical complications was observed compared to unilateral replacements.
- Successful outcomes in 19 cases of simultaneous bilateral knee replacement.
Conclusions:
- Simultaneous bilateral Attenborough Total Knee Replacement is a viable option for severe bilateral knee arthritis.
- The procedure offers advantages including anesthetic savings, improved rehabilitation, and reduced hospital stay.
- This approach appears safe and effective, comparable to unilateral procedures regarding complication rates.