سامانه مدیریت نشریات علمی دانشگاه علوم پزشکی مشهد

Serino, Joseph, Terhune, E., Burnett, Robert, Higgins, John, Jacobs, Joshua, Della Valle, Craig, Nam, Denis. (1402). The Ideal Timing of Bilateral Total Knee Arthroplasty: Simultaneous Versus Staged. , 12(3), 183-190. doi: 10.22038/abjs.2023.74559.3454
Joseph M. Serino; E. Bailey Terhune; Robert A. Burnett; John D.D. Higgins; Joshua J. Jacobs; Craig J. Della Valle; Denis Nam. "The Ideal Timing of Bilateral Total Knee Arthroplasty: Simultaneous Versus Staged". , 12, 3, 1402, 183-190. doi: 10.22038/abjs.2023.74559.3454
Serino, Joseph, Terhune, E., Burnett, Robert, Higgins, John, Jacobs, Joshua, Della Valle, Craig, Nam, Denis. (1402). 'The Ideal Timing of Bilateral Total Knee Arthroplasty: Simultaneous Versus Staged', , 12(3), pp. 183-190. doi: 10.22038/abjs.2023.74559.3454
Serino, Joseph, Terhune, E., Burnett, Robert, Higgins, John, Jacobs, Joshua, Della Valle, Craig, Nam, Denis. The Ideal Timing of Bilateral Total Knee Arthroplasty: Simultaneous Versus Staged. , 1402; 12(3): 183-190. doi: 10.22038/abjs.2023.74559.3454

The Ideal Timing of Bilateral Total Knee Arthroplasty: Simultaneous Versus Staged

The Archives of Bone and Joint Surgery
مقاله 5، دوره 12، شماره 3، خرداد 2024، صفحه 183-190    اصل مقاله (716.93 K)
نوع مقاله: RESEARCH PAPER
شناسه دیجیتال (DOI): 10.22038/abjs.2023.74559.3454
نویسندگان
Joseph M. Serino؛ E. Bailey Terhune؛ Robert A. Burnett؛ John D.D. Higgins* ؛ Joshua J. Jacobs؛ Craig J. Della Valle؛ Denis Nam
Department of Orthopaedic Surgery, Rush University Medical Center, Chicago, IL, USA
چکیده
Objectives: The ideal timing for patients undergoing bilateral total knee arthroplasty (TKA) remains 
unknown. The purpose of this study was to compare 90-day outcomes between unilateral, simultaneous 
bilateral, and staged bilateral TKA.
Methods: The PearlDiver database was used to retrospectively identify 231,119 patients undergoing primary TKA 
during 2015-2020, of which 67,956 (29.4%) were bilateral. Bilateral TKA patients were divided into cohorts of 
simultaneous bilateral TKA and staged bilateral TKA at 1-14 days, 15-30 days, 31-90 days, and 91-365 days. Each 
bilateral TKA cohort underwent one-to-one matching with unilateral TKA patients based on age, gender, year, 
Elixhauser Comorbidity Index (ECI), and a history of obesity, diabetes, and tobacco use. Ninety-day outcomes were
compared between matched groups via univariate and multivariate analysis. In staged bilateral TKA groups, 
outcomes were collected beginning after the second TKA.
Results: Compared to unilateral TKA, simultaneous bilateral TKA was associated with higher rates of venous 
thromboembolism (VTE; odds ratio [OR] 1.28, 95% confidence interval [CI] 1.07-1.54, p=0.007), acute kidney injury 
(AKI; OR 1.47, CI 1.17-1.84, p=0.001), blood transfusion (OR 6.81, CI 5.43-8.65, p<0.001), and any complication 
(OR 1.63, CI 1.49-1.78, p<0.001). Staged bilateral TKA at any time interval studied was associated with a similar or 
decreased risk of individual complications, emergency department visits, readmissions, reoperations, and any 
complication relative to unilateral TKA.
Conclusion: Simultaneous bilateral TKA is associated with an increased risk of adverse events compared to 
unilateral TKA. However, bilateral TKA staged at a short interval appears safe in appropriately selected patients.
 Level of evidence: III
کلیدواژه‌ها
Complications؛ Knee arthritis؛ Outcomes؛ Timing؛ Total knee arthroplasty
مراجع
  1. Jaiswal A, Goswami K, Haldar P, Salve HR, Singh U. Prevalence of knee osteoarthritis, its determinants, and impact on the quality of life in elderly persons in rural Ballabgarh, Haryana. J Family Med Prim Care. 2021; 10(1):354. doi: 10.4103/jfmpc.jfmpc_1477_20.
  2. Davis MA, Ettinger WH, Neuhaus JM, Cho SA, Hauck WW. The association of knee injury and obesity with unilateral and bilateral osteoarthritis of the knee. Am J Epidemiol. 1989; 130(2):278-88. doi: 10.1093/oxfordjournals.aje.a115334.
  3. Mont MA, Mitzner DL, Jones LC, Hungerford DS. History of the contralateral knee after primary knee arthroplasty for osteoarthritis. Clin Orthop Relat Res. 1995; 321:145-50.
  4. Ritter MA, Carr KD, Keating EM, Faris PM. Long-term outcomes of contralateral knees after unilateral total knee arthroplasty for osteoarthritis. J Arthroplasty. 1994; 9(4):347-9. doi: 10.1016/0883-5403(94)90043-4.
  5. Barrett J, Baron JA, Losina E, Wright J, Mahomed NN, Katz JN. Bilateral total knee replacement: staging and pulmonary embolism. J Bone Joint Surg Am. 2006; 88(10):2146-51. doi: 10.2106/JBJS.E.01323.
  6. Meehan JP, Danielsen B, Tancredi DJ, Kim S, Jamali AA, White RH. A population-based comparison of the incidence of adverse outcomes after simultaneous-bilateral and staged-bilateral total knee arthroplasty. J Bone Joint Surg Am. 2011; 93(23):2203-13. doi: 10.2106/JBJS.J.01350.
  7. Memtsoudis SG, Mantilla CB, Parvizi J, Stundner O, Mazumdar M. Have bilateral total knee arthroplasties become safer?: a population-based trend analysis. Clin Orthop Relat Res. 2013; 471(1):17-25. doi: 10.1007/s11999-012-2608-9.
  8. Dennis DA. Debate: bilateral simultaneous total knee arthroplasty. Clin Orthop Relat Res. 2004; 428:82-3. doi: 10.1097/01.blo.0000147650.90507.84.
  9. Poultsides L, Memtsoudis S, Della Valle AG, et al. Perioperative morbidity and mortality of same-day bilateral TKAs: incidence and risk factors. Clin Orthop Relat Res. 2014; 472(1):111-20. doi: 10.1007/s11999-013-3156-7.
  10. Reuben JD, Meyers SJ, Cox DD, Elliott M, Watson M, Shim SD. Cost comparison between bilateral simultaneous, staged, and unilateral total joint arthroplasty. J Arthroplasty. 1998; 13(2):172-9. doi: 10.1016/s0883-5403(98)90095-x.
  11. Odum SM, Troyer JL, Kelly MP, Dedini RD, Bozic KJ. A cost-utility analysis comparing the cost-effectiveness of simultaneous and staged bilateral total knee arthroplasty. J Bone Joint Surg Am. 2013; 95(16):1441-9. doi: 10.2106/JBJS.L.00373.
  12. Tsay EL, Grace TR, Vail T, Ward D. Bilateral simultaneous vs
 

staged total knee arthroplasty: minimal difference in perioperative risks. J Arthroplasty. 2019; 34(12):2944-9. doi: 10.1016/j.arth.2019.07.002.

  1. Phillips JL, Rondon AJ, Gorica Z, Fillingham YA, Austin MS, Courtney PM. No difference in total episode-of-care cost between staged and simultaneous bilateral total joint arthroplasty. J Arthroplasty. 2018; 33(12):3607-11. doi: 10.1016/j.arth.2018.08.035.
  2. Forster MC, Bauze AJ, Bailie AG, Falworth MS, Oakeshott RD. A retrospective comparative study of bilateral total knee replacement staged at a one-week interval. J Bone Joint Surg Br. 2006; 88(8):1006-10. doi: 10.1302/0301-620X.88B8.17862.
  3. Sheth DS, Cafri G, Paxton EW, Namba RS. Bilateral simultaneous vs staged total knee arthroplasty: a comparison of complications and mortality. J Arthroplasty. 2016; 31(9):212-6. doi: 10.1016/j.arth.2016.03.018.
  4. Bini SA, Khatod M, Inacio MC, Paxton EW. Same-day versus staged bilateral total knee arthroplasty poses no increase in complications in 6672 primary procedures. J Arthroplasty. 2014; 29(4):694-7. doi: 10.1016/j.arth.2012.09.009.
  5. Memtsoudis SG, Della Valle AG, Besculides MC, Gaber L, Sculco TP. In-hospital complications and mortality of unilateral, bilateral, and revision TKA: based on an estimate of 4,159,661 discharges. Clin Orthop Relat Res. 2008; 466(11):2617-27. doi: 10.1007/s11999-008-0402-5.
  6. Yoon HS, Han CD, Yang IH. Comparison of simultaneous bilateral and staged bilateral total knee arthroplasty in terms of perioperative complications. J Arthroplasty. 2010; 25(2):179-85. doi: 10.1016/j.arth.2008.11.103.
  7. Fu D, Li G, Chen K, Zeng H, Zhang X, Cai Z. Comparison of clinical outcome between simultaneous-bilateral and staged-bilateral total knee arthroplasty: a systematic review of retrospective studies. J Arthroplasty. 2013; 28(7):1141-7. doi: 10.1016/j.arth.2012.09.023.
  8. Sobh AH, Siljander MP, Mells AJ, Koueiter DM, Moore DD, Karadsheh MS. Cost analysis, complications, and discharge disposition associated with simultaneous vs staged bilateral total knee arthroplasty. J Arthroplasty. 2018; 33(2):320-3. doi: 10.1016/j.arth.2017.09.004.
  9. Chua HS, Whitehouse SL, Lorimer M, De Steiger R, Guo L, Crawford RW. Mortality and implant survival with simultaneous and staged bilateral total knee arthroplasty experience from the Australian Orthopaedic Association National Joint Replacement Registry. J Arthroplasty. 2018; 33(10):3167-73. doi: 10.1016/j.arth.2018.05.019.
  10. Restrepo C, Parvizi J, Dietrich T, Einhorn TA. Safety of simultaneous bilateral total knee arthroplasty: a meta-analysis. J Bone Joint Surg Am. 2007; 89(6):1220-6. doi: 10.2106/JBJS.F.01353.
  11. Lane GJ, Hozack WJ, Shah S, Rothman RH, Booth Jr RE, Eng K, Smith P. Simultaneous bilateral versus unilateral total knee arthroplasty. Outcomes analysis. Clin Orthop Relat Res. 1997 (345):106-12.
  12. orthoguidelines. Surgical Management of the Knee Evidence-Based Clinical Practice Guideline. Available at: https://www.orthoguidelines.org/topic?id=1041.Accessed May 1, 2022.
  13. Memtsoudis SG, Hargett M, Russell LA, et al. Consensus statement from the consensus conference on bilateral total knee arthroplasty group. Clin Orthop Relat Res. 2013; 471(8):2649-57. doi: 10.1007/s11999-013-2976-9.
  14. Follett MA, Arora P, Maloney WJ, Goodman SB, Huddleston III JI, Amanatullah DF. Staging Bilateral Total Knee Arthroplasties Reduces Alignment Outliers. J Arthroplasty. 2022; 37(4):694-8. doi: 10.1016/j.arth.2022.01.003.
  15. Lee TH, Marcantonio ER, Mangione CM, et al. Derivation and prospective validation of a simple index for prediction of cardiac risk of major noncardiac surgery. Circulation. 1999; 100(10):1043-9. doi: 10.1161/01.cir.100.10.1043.
  16. Courtney PM, Melnic CM, Alosh H, Shah RP, Nelson CL, Israelite CL. Is bilateral total knee arthroplasty staged at a one-week interval safe? A matched case control study. J Arthroplasty. 2014; 29(10):1946-9. doi: 10.1016/j.arth.2014.05.004.
  17. Sliva CD, Callaghan JJ, Goetz DD, Taylor SG. Staggered bilateral total knee arthroplasty performed four to seven days apart during a single hospitalization. J Bone Joint Surg Am. 2005; 87(3):508-13. doi: 10.2106/JBJS.D.02193.
  18. Harrer SL, Yayac M, Austin MS, Courtney PM, Vigdorchik JM. Staging total hip and knee arthroplasty procedures within 90 days increases costs in bundled payment programs. J Arthroplasty. 2021; 36(7):2258-62. doi: 10.1016/j.arth.2020.11.002.
  19. Bozic KJ, Bashyal RK, Anthony SG, Chiu V, Shulman B, Rubash HE. Is administratively coded comorbidity and complication data in total joint arthroplasty valid? Clin Orthop Relat Res. 2013; 471:201-5. doi: 10.1007/s11999-012-2352-1.
 

 

 

 

آمار
تعداد مشاهده مقاله: 274
تعداد دریافت فایل اصل مقاله: 284