Same-Day Versus Staged Bilateral Total Knee Arthroplasty Poses No Increase in Complications in 6672 Primary Procedures
- Author(s): Bini, SA
- Khatod, M
- Inacio, MCS
- Paxton, EW
- et al.
Published Web Locationhttp://www.sciencedirect.com/science/article/pii/S0883540313000211
We examined the assumption that patients undergoing same-day bilateral total knee arthroplasty (TKA) have a higher incidence of major peri-operative complications than patients who stage their procedures over the course of a year. Between April 2001 and March 2007, prospective data were collected using a total joint registry. Patients undergoing primary, bilateral, same-day, TKAs were compared to patients undergoing primary, staged, bilateral TKAs within 12 months of the index operation. A total of 2441 TKAs were performed on the same day, while 4231 were staged. There were no significant differences in 90-day mortality, thrombotic events and infections between the two groups. Performing same-day bilateral TKA does not predispose patients to increased cumulative incidence of major complications over staged arthroplasty.
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