الفهرس | Only 14 pages are availabe for public view |
Abstract In conclusion, simultaneous bilateral TKA is a reasonably safe and acceptable choice for patients whose symptoms necessitate TKA in both knees while raising the risk of systemic complication to a minimum. Patients undergoing the simultaneous bilateral operation have a significantly shorter hospital stay. However, the incidence of systemic complications rises in the elderly and high-risk simultaneous bilateral patients. As a result, in high-risk elderly patients, we do not recommend simultaneous bilateral total knee arthroplasty .The mean length of hospital stay in the staged bilateral group was 11.7 days. This was an average of 4.2 days longer than the 7.5 days averaged by the simultaneous bilateral group. The difference in the length of hospitality was significant (p <0.008*). Also, there was a statistically significant difference in the operative time (P<0.003*) as the mean operative time was 176 minutes in simultaneous group vs 204 minutes in stage group.The results showed no statistically significant difference between the two groups in the post-operative KSS and Functional score. The two groups showed significant improvement of both scores after surgery. However, simultaneous group showed higher complications rate especially in elder people and with multiple comprbidity and ASA grad of 3 or more. |