Does different time interval between staggered bilateral total knee arthroplasty affect perioperative outcome? A retrospective study.
Staggered bilateral total knee arthroplasty (BTKA) performed 4 to 7 days apart has been shown to have fewer postoperative complications than sequential or staged BTKA. However, there has been no comparison of staggered BTKA with different intervals. A retrospective study involving 79 patients who underwent BTKA from 2002 to 2004 was performed to determine whether the interval between each TKA influenced the clinical outcome. Staggered operations performed 2 days (n = 46) or 7 days (n = 33) apart had similar incidence of major (acute myocardial infarction, pulmonary embolism, etc) and minor complications (transient hypotension or low Sp(o)(2)) throughout hospitalization. Perioperative complications in the first and second TKAs were similar when TKAs were performed with a 2- or a 7-day interval.
Wu
Chia-Chan
CC
Department of Anesthesiology, Far Eastern Memorial Hospital, Taipei County, Taiwan, ROC.
Lin
Chih-Peng
CP
Yeh
Yu-Chang
YC
Cheng
Ya-Jung
YJ
Sun
Wei-Zen
WZ
Hou
Sheng-Mou
SM
D000368:Aged; D000369:Aged, 80 and over; D001145:Arrhythmias, Cardiac / Q000209:etiology; D019645:Arthroplasty, Replacement, Knee / Q000379:methods*; D005260:Female; D006801:Humans; D007022:Hypotension / Q000209:etiology; D000860:Hypoxia / Q000209:etiology; D008297:Male; D008875:Middle Aged; D009203:Myocardial Infarction / Q000209:etiology; D020370:Osteoarthritis, Knee / Q000601:surgery*; D010043:Outcome and Process Assessment, Health Care; D011183:Postoperative Complications / Q000209:etiology*; D011655:Pulmonary Embolism / Q000209:etiology; D012086:Reoperation; D012189:Retrospective Studies; D020521:Stroke / Q000209:etiology; D013997:Time Factors