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논문 기본 정보

자료유형
학술저널
저자정보
Wan Raymond C. W. (Prince of Wales Hospital Sha Tin Hong Kong SAR China) Fan Jason C. H. (Alice Ho Miu Ling Nethersole Hospital Tai Po Hong Kong SAR China) Hung Yuk-Wah (Alice Ho Miu Ling Nethersole Hospital Tai Po Hong Kong SAR China) Kwok Ka-Bon (Alice Ho Miu Ling Nethersole Hospital Tai Po Hong Kong SAR China) Lo Carmen K. M. (Alice Ho Miu Ling Nethersole Hospital Tai Po Hong Kong SAR China) Chung Kwong-Yin (Prince of Wales Hospital Shatin Hong Kong SAR)
저널정보
대한슬관절학회 Knee Surgery and Related Research Knee Surgery and Related Research 제33권
발행연도
2021.9
수록면
17 - 17 (1page)
DOI
10.1186/s43019-021-00098-z

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Many patients experience bilateral knee osteoarthritis and require bilateral total knee replacement (TKR). Same-stage, bilateral TKR is proposed to be a cost-effective and safe solution compared to two-stage, but conflicting results in the literature are reported. We aim to compare the costs, safety, and rehabilitation performance of patients in same-stage versus two-stage, bilateral TKR with our centre’s perioperative protocol.We retrospectively reviewed 175 patients (95 same-stage, 80 two-stage) who had undergone bilateral TKR in our centre. Patient selection for same-stage, bilateral TKR was strictly protocol-driven and required fulfilment of all criteria, including age?<?75?years, American Society of Anesthesiologists (ASA) grade 1 or 2, body mass index (BMI)?<?40, and having non-complex arthritis. All patients followed a standardised pre-operative, intra-operative, and post-operative Enhanced Recovery After Surgery (ERAS) protocol. The cost, safety profiles, and rehabilitation outcomes were compared between the same-stage and two-stage groups.The same-stage, bilateral TKR reduced the length of hospital stays by 5.71?days per patient, decreased the operation time by 27.4?min, saved 3.34 (18.6%) physiotherapy sessions, and 3.78 (51.5%) occupational therapy sessions. The same-stage group experienced a higher haemoglobin drop but no significant difference in transfusion percentage, transfusion volume, complication rate, and readmission rate. The two-stage subgroup with anaesthetic risk, age, and BMI similar to the same-stage group showed the same results. Same-stage, bilateral TKR patients experienced no significant difference in final post-operative pain levels and rehabilitation outcomes as two-stage TKR patients.This study showed that same-stage, bilateral TKR can reduce costs, with similar safety profiles and rehabilitation outcomes compared to the two-stage, bilateral TKR.

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