One-Stage Sequential Bilateral Total Knee Arthroplasty: An Effective Treatment for Advanced Bilateral Knee Osteoarthritis Providing High Patient Satisfaction

2020 ◽  
Vol 35 (2) ◽  
pp. 401-406 ◽  
Author(s):  
Sven E. Putnis ◽  
Antonio Klasan ◽  
Joachim D. Redgment ◽  
Matthew S. Daniel ◽  
David A. Parker ◽  
...  
Keyword(s):  
Total Knee Arthroplasty ◽  
Patient Satisfaction ◽  
Knee Osteoarthritis ◽  
Effective Treatment ◽  
Knee Arthroplasty ◽  
Bilateral Total Knee Arthroplasty ◽  
High Patient Satisfaction ◽  
Bilateral Knee ◽  
One Stage ◽  
Total Knee

scholarly journals Bilateral total knee arthroplasty in a one-stage surgical procedure

2012 ◽  
Vol 98 (8) ◽  
pp. 857-862 ◽  
Author(s):  
C. Trojani ◽  
B. Bugnas ◽  
M. Blay ◽  
M. Carles ◽  
P. Boileau
Keyword(s):  
Total Knee Arthroplasty ◽  
Knee Arthroplasty ◽  
Surgical Procedure ◽  
Bilateral Total Knee Arthroplasty ◽  
One Stage ◽  
Total Knee

scholarly journals Simultaneous bilateral total knee arthroplasty

2022 ◽  
Vol 3 (1) ◽  
pp. 29-34
Author(s):  
Gerard A. Sheridan ◽  
Rotem Moshkovitz ◽  
Bassam A. Masri
Keyword(s):  
Total Knee Arthroplasty ◽  
Patient Satisfaction ◽  
Clinical Outcomes ◽  
Knee Arthroplasty ◽  
Functional Outcomes ◽  
Bilateral Total Knee Arthroplasty ◽  
Bilateral Tkas ◽  
Patient Satisfaction Scores ◽  
Total Knee ◽  
Simultaneous Bilateral Tka

Aims Simultaneous bilateral total knee arthroplasty (TKA) has been used due to its financial advantages, overall resource usage, and convenience for the patient. The training model where a trainee performs the first TKA, followed by the trainer surgeon performing the second TKA, is a unique model to our institution. This study aims to analyze the functional and clinical outcomes of bilateral simultaneous TKA when performed by a trainee or a supervising surgeon, and also to assess these outcomes based on which side was done by the trainee or by the surgeon. Methods This was a retrospective cohort study of all simultaneous bilateral TKAs performed by a single surgeon in an academic institution between May 2003 and November 2017. Exclusion criteria were the use of partial knee arthroplasty procedures, staged bilateral procedures, and procedures not performed by the senior author on one side and the trainee on another. Primary clinical outcomes of interest included revision and re-revision. Primary functional outcomes included the Oxford Knee Score (OKS) and patient satisfaction scores. Results In total, 315 patients (630 knees) were included for analysis. Of these, functional scores were available for 189 patients (378 knees). There was a 1.9% (n = 12) all-cause revision rate for all knees. Overall, 12 knees in ten patients were revised, and both right and left knees were revised in two patients. The OKS and patient satisfaction scores were comparable for trainees and supervising surgeons. A majority of patients (88%, n = 166) were either highly likely (67%, n = 127) or likely (21%, n = 39) to recommend bilateral TKAs to a friend. Conclusion Simultaneous bilateral TKA can be used as an effective teaching model for trainees without any significant impact on patient clinical or functional outcomes. Excellent functional and clinical outcomes in both knees, regardless of whether the performing surgeon is a trainee or supervising surgeon, can be achieved with simultaneous bilateral TKA. Cite this article: Bone Jt Open 2022;3(1):29–34.

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