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Safety of simultaneous bilateral total knee arthroplasty using an extramedullary referencing system: results from 2098 consecutive patients

  • Knee Arthroplasty
  • Published:
Archives of Orthopaedic and Trauma Surgery Aims and scope Submit manuscript

Abstract

Introduction

Simultaneous bilateral total knee arthroplasty (TKA) has been associated with a high risk of morbidity and mortality. The orthopedic surgeon must, therefore, decide whether bilateral simultaneous TKA is a safe operation to perform and endeavor to decrease the risk of serious complications or even death.

Methods

This retrospective review included 2098 consecutive patients who underwent bilateral simultaneous TKAs by the protocol used in our institution, including the use of extramedullary instruments to minimize medullary canal invasion and overlapping procedures for both knees to decrease operation time.

Results

The incidence rate of occurred complications was 0.33 % for symptomatic pulmonary embolism, 0.62 % for deep surgical infection requiring revision surgery, 0.05 % for 14-day mortality, 1.14 % for adverse cardiac events, and 0.76 % for postsurgical delirium within the 1-year follow-up.

Conclusions

Our protocols, including the use of an extramedullary referencing system and overlapping procedures for both knees, may be considered to decrease the perioperative short-term morbidity and 14-day mortality rates in simultaneous bilateral TKA.

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Author notes

    Authors and Affiliations

    1. Department of Orthopedic Surgery, Sungkyunkwan University School of Medicine, Seoul, Korea

      Jai Gon Seo

    2. Seoul Medical Center, Sinnae 1-dong, Jungnang-gu, Seoul, Korea

      Sang Min Kim

    3. Hanyang Medical Center, Hanyang University School of Medicine, Seoul, Korea

      Jung Min Shin

    4. Center for Bionics, Korea Institute of Science and Technology, Seoul, South Korea

      Youngjun Kim

    5. Department of Orthopedic Surgery, Kang-Dong Sacred Heart Hospital, Hallym University Medical School, 134-701, Gil-dong, Seoul, Korea

      Byung Hoon Lee

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    1. Jai Gon Seo
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    2. Sang Min Kim
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    3. Jung Min Shin
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    4. Youngjun Kim
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    Correspondence to Byung Hoon Lee.

    Additional information

    J. G. Seo and Y. Kim contributed equally to this study.

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    Seo, J.G., Kim, S.M., Shin, J.M. et al. Safety of simultaneous bilateral total knee arthroplasty using an extramedullary referencing system: results from 2098 consecutive patients. Arch Orthop Trauma Surg 136, 1615–1621 (2016). https://doi.org/10.1007/s00402-016-2573-y

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    • DOI: https://doi.org/10.1007/s00402-016-2573-y

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