Comparison of Simultaneous Bilateral with Unilateral Total Knee Arthroplasty in Terms of Perioperative Complications | ||||
| Benha Medical Journal | ||||
| Articles in Press, Accepted Manuscript, Available Online from 02 May 2025 PDF (667.89 K) | ||||
| Document Type: Original Article | ||||
| DOI: 10.21608/bmfj.2025.353024.2313 | ||||
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| Authors | ||||
Mohsen Ahmed Mashhour1; elsayed mohamady1; Mohamed Solyman Kabil   2
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| 1Professor of Orthopedic Surgery Faculty of Medicine, Benha University | ||||
| 2Department of Orthopedic Surgery Faculty of Medicine, Benha University | ||||
| Abstract | ||||
| Background: SB-TKA has been shown greater economic benefits over the staged procedure but concerns regarding potential increased rates of peri-operative morbidity and mortality. Until now, there is no prospective, randomized controlled trial in the joint arthroplasty literature that provide guidelines for the physicians and patients to choose between the two procedures, so it can be considered an area of research gap which require more work on different aspects; Aim of work: We proposed a prospective cohort study to compare Perioperative Outcomes following Unilateral TKR (U-TKR) versus SB-TKA; Patients and Methods: We proposed the present study to compare Perioperative Outcomes following Unilateral TKR (U-TKR) versus SB-TKA. This study was a prospective cohort study that was performed over 45 patients with bilateral knees osteoarthritis, and they were divided into: Group A: 30 patients treated by U-TKR and Group B: 15 patients treated by SB-TKR; Results: There was statistically significant difference between the studied cases as regards operative time. There was a statistically significant difference between the studied cases as regards Intensive care unit (ICU) admission and length of hospital stay. There was no statistically significant difference between the studied cases as regards radiographic assessment at different periods; Conclusion: Unilateral knee replacement is associated with lesser complications and blood transfusion requirements as compared to simultaneous bilateral total knee replacements. Although patients undergoing bilateral TKA had a low incidence of major complications, this procedure was associated with a higher odd of major complications compared to a single unilateral TKA. | ||||
| Keywords | ||||
| Comparison; Simultaneous Bilateral; Unilateral; Total Knee Arthroplasty; Perioperative Complications | ||||
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