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Park and Yim: Complication Rate and Clinical Result of One-Week Interval Staged Bilateral Total Knee Arthroplasty: Compared to Simultaneous and Several-Months Interval Staged Bilateral Total Knee Arthroplasty
Original Article

Journal of the Korean Orthopaedic Association 2015; 50(1): 1-7.

Published online: 28 February 2015

DOI: https://doi.org/10.4055/jkoa.2015.50.1.1

Complication Rate and Clinical Result of One-Week Interval Staged Bilateral Total Knee Arthroplasty: Compared to Simultaneous and Several-Months Interval Staged Bilateral Total Knee Arthroplasty

Sin Hyung Park, M.D., Soo Jae Yim, M.D.

Department of Orthopedic Surgery, Soonchunhyang University Hospital Bucheon, Soonchunhyang University College of Medicine, Bucheon, Korea.

Correspondence to: Soo Jae Yim, M.D. Department of Orthopedic Surgery, Soonchunhyang University Hospital Bucheon, 170 Jomaru-ro, Wonmi-gu, Bucheon 420-767, Korea. TEL: +82-32-621-5260, FAX: +82-32-621-5018, yimsj@chol.com

Received 20 August 2014       Revised 3 November 2014       Accepted 4 November 2014

Copyright © 2015 by The Korean Orthopaedic Association

(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

The purpose of this study is to compare the clinical results and the rates of complication among three groups that received the simultaneous total knee replacement (TKR), one-week interval staged bilateral TKR, or several-months interval staged TKR.

Materials and Methods

We conducted a retrospective study of patients who had been diagnosed with bilateral degenerative osteoarthritis undergoing bilateral TKR from 2004 May to 2012 March. We divided patients into three groups which received simultaneous TKR (Group A, n=84), one-week interval staged bilateral TKR (Group B, n=124), or several-months interval staged TKR (Group C, n=65). Hospital for special surgery (HSS) score and the rate of complication were evaluated and compared.

Results

Mean postoperative HSS score showed significant improvement in the three groups. No difference in postoperative HSS was observed among the three groups (p=0.325). The complication rate in Group A was lower than that in Group B (p=0.049) and that in Group A was similar to that in Group C (p=0.786).

Conclusion

Group A had a better result than Group B and was similar to Group C in complication rate. One-week interval staged TKR can be good choice in patients with bilateral degenerative osteoarthritis.

Keywords: bilateral degenerative osteoarthritis, staged total knee replacement, postoperative complications, clinical result

Figures and Tables

Table 1

Demographics

jkoa-50-1-i001

Values are presented as mean±standard deviation, number only, or number (%). Group A: the one-week interval staged total knee replacement (TKR), Group B: the simultaneous TKR, Group C: the several-months interval staged TKR.

Table 2

Comparison of Clinical Results

jkoa-50-1-i002

Values are presented as mean±standard deviation. HSS, hospital for special surgery scoring system. Group A: the one-week interval staged total knee replacement (TKR), Group B: the simultaneous TKR, Group C: the several-months interval staged TKR.

Table 3

Comparison of Complications

jkoa-50-1-i003

Values are presented as number (%). Group A: the one-week interval staged total knee replacement (TKR), Group B: the simultaneous TKR, Group C: the several-months interval staged TKR.

Table 4

Comparison of Complications between Group A and B/Group B and C

jkoa-50-1-i004

Values are presented as number (%). Group A: the one-week interval staged total knee replacement (TKR), Group B: the simultaneous TKR, Group C: the several-months interval staged TKR.

Table 5

Comparison of Complications Based on Grade

jkoa-50-1-i005

Values are presented as number (%). Group A: the one-week interval staged total knee replacement (TKR), Group B: the simultaneous TKR, Group C: the several-months interval staged TKR.

Notes

The authors have nothing to disclose.

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