Clinical curative effect of bilateral total knee arthroplasty in one-stage procedure.
- Author:
Zhen-guo ZHAO
1
;
Jin JIN
;
Gui-xing QIU
Author Information
- Publication Type:Journal Article
- MeSH: Adult; Aged; Aged, 80 and over; Arthroplasty, Replacement, Knee; adverse effects; methods; Female; Follow-Up Studies; Humans; Knee Prosthesis; Male; Middle Aged; Treatment Outcome
- From: Acta Academiae Medicinae Sinicae 2006;28(6):808-812
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVETo investigate the perioperative and early-term efficacy of bilateral total knee arthroplasty (BTKA) in one-stage procedure.
METHODSTotally 93 patients operated with BTKA in one-stage procedure from 2003 June to 2005 June were followed up and the curative effect was determined with Hospital for Special Surgery knee-rating system (HSS). The complications were then analyzed.
RESULTSThe mean postoperative HSS score was 89. 6 (55 approximately 96 scores) and the excellence/good rate reached 95. 7% (excellent in 74 cases, good in 15 cases, moderate in 2 cases, and poor in 2 cases). Except for the muscle power, the pain, joint function, range of joint movement (ROM) , deformity, and stability were significantly improved after operation (P < 0. 05). The average ROM of knee was improved to 99. 8 (75-135 ) degrees after operation from 88.9 (25-110) degrees before operation (P < 0. 01). Complications included deep vein thrombosis (n = 2) , incision fat liquidation (n = 2) , deep infection ( n = 1) , urinary infection ( n = 1) , and peroneal nerve palsy (n = 1). No death was documented.
CONCLUSIONBilateral total knee arthroplasty in one-stage procedure under secure conditions can be performed with good outcomes in selected patients without a definite increase in perioperative risk.
