Early morbidity after simultaneous and staged bilateral total knee arthroplasty

Verfasser / Beitragende:
[Martin Lindberg-Larsen, Christoffer Jørgensen, Henrik Husted, Henrik Kehlet]
Ort, Verlag, Jahr:
2015
Enthalten in:
Knee Surgery, Sports Traumatology, Arthroscopy, 23/3(2015-03-01), 831-837
Format:
Artikel (online)
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024 7 0 |a 10.1007/s00167-014-2880-1  |2 doi 
035 |a (NATIONALLICENCE)springer-10.1007/s00167-014-2880-1 
245 0 0 |a Early morbidity after simultaneous and staged bilateral total knee arthroplasty  |h [Elektronische Daten]  |c [Martin Lindberg-Larsen, Christoffer Jørgensen, Henrik Husted, Henrik Kehlet] 
520 3 |a Purpose: The aim of this nationwide study was to investigate the early morbidity after bilateral simultaneous and staged total knee arthroplasty (TKA) in order to clarify potential benefits of a well-established fast-track regime. Methods: The Danish National Patient Registry was searched for all bilateral simultaneous and staged TKA procedures from 2010 to 2011. The staged procedures were defined as two separate procedures done within 0-6months or within 7-18months. Results: A total of 157 patients had bilateral simultaneous TKA, 346 patients had bilateral staged TKA within 0-6months and 292 patients had bilateral staged TKA within 7-18months. The median length of stay in hospital (LOS) was 4days (interquartile range, IQR: 3) after bilateral simultaneous TKA versus cumulated LOS of 6days (IQR: 3) in both of the bilateral staged groups (p<0.001). There were no deaths after bilateral simultaneous TKA versus three deaths (0.9 and 1.0%) in each of the bilateral staged groups within 90days of surgery (n.s.). The total readmission rate within 30days of surgery was lower after bilateral simultaneous TKA (7%, CI 4.0-12.0) and bilateral staged TKA within 0-6months (9%, CI 6.4-12.4) compared with 14% (CI 11.5-20.1) after bilateral staged TKA within 7-18months. Conclusions: The results from this nationwide study indicate that bilateral simultaneous TKA can safely be performed in a fast-track set-up. Level of evidence: Therapeutic study, Level III. 
540 |a Springer-Verlag Berlin Heidelberg, 2014 
690 7 |a Bilateral  |2 nationallicence 
690 7 |a Total knee arthroplasty  |2 nationallicence 
690 7 |a Simultaneous  |2 nationallicence 
690 7 |a Staged  |2 nationallicence 
690 7 |a Fast-track  |2 nationallicence 
690 7 |a Morbidity  |2 nationallicence 
690 7 |a Nationwide  |2 nationallicence 
690 7 |a Mortality  |2 nationallicence 
700 1 |a Lindberg-Larsen  |D Martin  |u Section of Surgical Pathophysiology, Rigshospitalet, Copenhagen University, Copenhagen, Denmark  |4 aut 
700 1 |a Jørgensen  |D Christoffer  |u Section of Surgical Pathophysiology, Rigshospitalet, Copenhagen University, Copenhagen, Denmark  |4 aut 
700 1 |a Husted  |D Henrik  |u The Lundbeck Centre for Fast-track Hip and Knee Arthroplasty, Copenhagen, Denmark  |4 aut 
700 1 |a Kehlet  |D Henrik  |u Section of Surgical Pathophysiology, Rigshospitalet, Copenhagen University, Copenhagen, Denmark  |4 aut 
773 0 |t Knee Surgery, Sports Traumatology, Arthroscopy  |d Springer Berlin Heidelberg  |g 23/3(2015-03-01), 831-837  |x 0942-2056  |q 23:3<831  |1 2015  |2 23  |o 167 
856 4 0 |u https://doi.org/10.1007/s00167-014-2880-1  |q text/html  |z Onlinezugriff via DOI 
898 |a BK010053  |b XK010053  |c XK010000 
900 7 |a Metadata rights reserved  |b Springer special CC-BY-NC licence  |2 nationallicence 
908 |D 1  |a research-article  |2 jats 
949 |B NATIONALLICENCE  |F NATIONALLICENCE  |b NL-springer 
950 |B NATIONALLICENCE  |P 856  |E 40  |u https://doi.org/10.1007/s00167-014-2880-1  |q text/html  |z Onlinezugriff via DOI 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Lindberg-Larsen  |D Martin  |u Section of Surgical Pathophysiology, Rigshospitalet, Copenhagen University, Copenhagen, Denmark  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Jørgensen  |D Christoffer  |u Section of Surgical Pathophysiology, Rigshospitalet, Copenhagen University, Copenhagen, Denmark  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Husted  |D Henrik  |u The Lundbeck Centre for Fast-track Hip and Knee Arthroplasty, Copenhagen, Denmark  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Kehlet  |D Henrik  |u Section of Surgical Pathophysiology, Rigshospitalet, Copenhagen University, Copenhagen, Denmark  |4 aut 
950 |B NATIONALLICENCE  |P 773  |E 0-  |t Knee Surgery, Sports Traumatology, Arthroscopy  |d Springer Berlin Heidelberg  |g 23/3(2015-03-01), 831-837  |x 0942-2056  |q 23:3<831  |1 2015  |2 23  |o 167