title: Simultaneous bilateral knee arthroplasty in octogenarians: can it be safe and effective?
abstract: Simultaneous bilateral knee arthroplasty (SBTKA) in octogenarians is controversial. Our purpose was to review the outcomes of octogenarians undergoing SBTKA. All patients greater than 80 years of age who underwent SBTKA by a single surgeon were retrospectively evaluated. Fifty-six patients with an average age of 82.5 years were identified. Twelve postoperative complications occurred. Three were serious; two non-fatal PEs and one wound debridement. Minor complications included UTI, decubitus ulcer, DVT, confusion, transfusion reaction and ileus. Average postoperative survival was 7.4 years. No deaths occurred within 30 days postoperatively. Simultaneous bilateral total knee arthroplasty can be a safe and effective option for octogenarians. Complications and mortality are not higher for SBTKA compared to UTKA in this population.
authors: Department of Orthopedic Surgery, Baylor College of Medicine, Houston, Texas.
authors: Catherine W
authors: CW
authors: Cahill
authors: University of California, Irvine, California.
authors: Ran
authors: R
authors: Schwarzkopf
authors: Harvard Medical School, Boston, Massachusetts.
authors: Sumi
authors: S
authors: Sinha
authors: Department of Orthopedic Surgery, New England Baptist Hospital, Harvard Medical School, Roxbury Crossing, Massachusetts.
authors: Richard D
authors: RD
authors: Scott
mesh_terms: D000369:Aged, 80 and over; D019645:Arthroplasty, Replacement, Knee / Q000009:adverse effects*; D005260:Female; D006801:Humans; D008297:Male; D012189:Retrospective Studies; D016896:Treatment Outcome
keywords: complications; octogenarians; simultaneous bilateral total knee arthroplasty