Postoperative Safety of Sequential Bilateral Total Knee Arthroplasty in Low Risk Patients

Ju-Hyung Yoo; Seong-Min Kim; Chang-Dong Han; Yeun-Tae Lee; Hyun-Cheol Oh; Jee-Ho Hyung

doi:10.4055/jkoa.2011.46.1.54

Journal List > J Korean Orthop Assoc > v.46(1) > 1013123

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Yoo, Kim, Han, Lee, Oh, and Hyung: Postoperative Safety of Sequential Bilateral Total Knee Arthroplasty in Low Risk Patients

Original Article

Journal of the Korean Orthopaedic Association

Journal of the Korean Orthopaedic Association 2011; 46(1): 54-59.

Published online: 23 February 2011

DOI: https://doi.org/10.4055/jkoa.2011.46.1.54

Postoperative Safety of Sequential Bilateral Total Knee Arthroplasty in Low Risk Patients

Ju-Hyung Yoo, M.D., Seong-Min Kim, M.D., Chang-Dong Han, M.D.^*, Yeun-Tae Lee, M.D., Hyun-Cheol Oh, M.D., Jee-Ho Hyung, M.D.

Department of Orthopaedic Surgery, National Health Insurance Corporation Ilsan Hospital, Ilsan, Korea.

^*Department of Orthopaedic Surgery, Yonsei University College of Medicine, Seoul, Korea.

Correspondence to: Hyun-Cheol Oh, M.D. Department of Orthopaedic Surgery, National Health Insurance Corporation Ilsan Hospital, 1232, Baekseok 1-dong, Ilsandong-gu, Goyang 410-719, Korea. TEL: +82-31-900-0540, FAX: +82-31-900-0343, hyuncoh@hanmail.net

Received 3 February 2010 Accepted 27 April 2010

(open-access):

"This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited."

Abstract

Purpose

To study the safety of sequential bilateral total knee arthroplasty in low risk patients.

Materials and Methods

Those who had received the surgery all at once were grouped as the first group, those who had received the surgery over two weeks interval were the second group and the last group, third group were those who had received the first surgery on only one knee and they were gotten re-hospitalized for the second surgery on the rest of the knee. These groups were compared on the aspects of complication, postoperative bleeding amount, average transfusion amount, operation time and admission period.

Results

There were no major complications found in all groups and the minor complication rate of occurrence was 3%, 4%, 6% in each, which did not constitute a significance difference. Each of the total blood loss was 1442.9 mL, 1567.4 mL, 1616.6 mL and which did not constitute a significance difference, either. Each of the average volume of blood transfused was 1220.3 mL, 680.1 mL, 692.2 mL, and the first group had the largest volume transfused (p<0.05). The operation time was 186, 196, 211 minutes in each and the first group had the shortest duration (p<0.05). The average admission periods were 16.8, 28.6, 29.8 days and the first group had the shortest period (p<0.05).

Conclusion

We suggest that when there are no medical diseases contracted on patients, the sequential bilateral total knee arthroplasty can be performed safely without definite increase in perioperative complications.

Keywords: knee, bilateral total knee arthroplasty, complication

Figures and Tables

Table 1

Dermographic Data

BMI, body mass index.

Table 2

Comorbidities of Patients

CAOD, coronary artery obstructive disease; CHF, congestive heart failure; TIA, transient ischemic attack.

Table 3

Comparison of ASA PS Classification System

ASA PS, American Society of Anesthesiologists physical status.

Table 4

Post-operative Complications after Total Knee Arthroplasty

ROM, range of montion.

^*Medial collateral ligament rupture.

Table 5

Comparison of Total Blood Loss and Transfusion

^*Pack RBC transfusion+autologous transfusion.

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