Open Access, Peer-reviewed
pISSN 1226-2102
eISSN 2005-8918
    J Korean Orthop Assoc. 2015 Feb;50(1):1-7. Korean.
    Published online Feb 28, 2015.
    https://doi.org/10.4055/jkoa.2015.50.1.1
    Copyright © 2015 by The Korean Orthopaedic Association
    Original Article

    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. and 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, Email: yimsj@chol.com
    Received August 20, 2014; Revised November 03, 2014; Accepted November 04, 2014.

    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

    Tables

    Table 1
    Demographics

    Table 2
    Comparison of Clinical Results

    Table 3
    Comparison of Complications

    Table 4
    Comparison of Complications between Group A and B/Group B and C

    Table 5
    Comparison of Complications Based on Grade

    Notes

    The authors have nothing to disclose.

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    MeSH Terms
    Arthroplasty*
    Arthroplasty, Replacement, Knee
    Humans
    Knee*
    Osteoarthritis
    Postoperative Complications
    Retrospective Studies
    Metrics
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