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Journal of Bone and Joint Surgery - British Volume, Vol 88-B, Issue 8, 1006-1010.
doi: 10.1302/0301-620X.88B8.17862  
Copyright © 2006 by British Editorial Society of Bone and Joint Surgery
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A retrospective comparative study of bilateral total knee replacement staged at a one-week interval

M. C. Forster, FRCS(Tr & Orth), Orthopaedic Research Fellow1; A. J. Bauze, FRACS, Orthopaedic Research Fellow1; A. G. Bailie, FRCS(Tr & Orth), Orthopaedic Research Fellow1; M. S. Falworth, FRCS(Tr & Orth), Orthopaedic Research Fellow1; and R. D. Oakeshott, FRACS, Consultant Orthopaedic Surgeon1

1 Sportsmed SA, 32 Payneham Road, Stepney, Adelaide, SA 5069, Australia.

Correspondence should be sent to Mr R. D. Oakeshott; e-mail: Roger.Oakeshott{at}sportsmed.com.au

The clinical results of bilateral total knee replacement staged at a one-week interval during a single hospital admission were compared with bilateral total knee replacements performed under the same anaesthetic and with bilateral total knee replacements performed during two separate admissions. The data were retrospectively reviewed. All operations had been performed by the same surgeon using the same design of prosthesis at a single institution.

The operative time and length of stay for the one-week staged group were comparable with those of the separate admission group but longer than for the patients treated under one anaesthetic. There was a low rate of complications and good clinical outcome in all groups at a mean follow-up of four years (1 to 7.2). The group staged at a one-week interval had the least blood loss (p = 0.004).

With appropriate patient selection, bilateral total knee replacement performed under a single anaesthetic, or staged at a one-week interval, is a safe and effective method to treat bilateral arthritis of the knee.




eLetters:

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Bilateral Total Knee Replacement; is it also safe in patients older than 75 years?
Feras M M Ya'ish, et al.
J Bone Joint Surg Br Online, 15 Sep 2006 [Full text]

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Hip, Knee, Trauma, Upper limb, Foot & Ankle, Paediatrics, Oncology, Spine, Arthroplasty, General