Early morbidity after simultaneous and staged bilateral total knee arthroplasty
Gespeichert in:
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)
Online Zugang:
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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 |
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| 900 | 7 | |a Metadata rights reserved |b Springer special CC-BY-NC licence |2 nationallicence | |
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| 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 | ||