caa a22 4500 605457840 CHVBK 20210128100225.0 cr unu---uuuuu 210128e20150301xx s 000 0 eng 10.1007/s00167-014-2880-1 doi (NATIONALLICENCE)springer-10.1007/s00167-014-2880-1 Early morbidity after simultaneous and staged bilateral total knee arthroplasty [Elektronische Daten] [Martin Lindberg-Larsen, Christoffer Jørgensen, Henrik Husted, Henrik Kehlet] 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. Springer-Verlag Berlin Heidelberg, 2014 Bilateral nationallicence Total knee arthroplasty nationallicence Simultaneous nationallicence Staged nationallicence Fast-track nationallicence Morbidity nationallicence Nationwide nationallicence Mortality nationallicence Lindberg-Larsen Martin Section of Surgical Pathophysiology, Rigshospitalet, Copenhagen University, Copenhagen, Denmark aut Jørgensen Christoffer Section of Surgical Pathophysiology, Rigshospitalet, Copenhagen University, Copenhagen, Denmark aut Husted Henrik The Lundbeck Centre for Fast-track Hip and Knee Arthroplasty, Copenhagen, Denmark aut Kehlet Henrik Section of Surgical Pathophysiology, Rigshospitalet, Copenhagen University, Copenhagen, Denmark aut Knee Surgery, Sports Traumatology, Arthroscopy Springer Berlin Heidelberg 23/3(2015-03-01), 831-837 0942-2056 23:3<831 2015 23 167 https://doi.org/10.1007/s00167-014-2880-1 text/html Onlinezugriff via DOI BK010053 XK010053 XK010000 Metadata rights reserved Springer special CC-BY-NC licence nationallicence 1 research-article jats NATIONALLICENCE NATIONALLICENCE NL-springer NATIONALLICENCE 856 40 https://doi.org/10.1007/s00167-014-2880-1 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Lindberg-Larsen Martin Section of Surgical Pathophysiology, Rigshospitalet, Copenhagen University, Copenhagen, Denmark aut NATIONALLICENCE 700 1- Jørgensen Christoffer Section of Surgical Pathophysiology, Rigshospitalet, Copenhagen University, Copenhagen, Denmark aut NATIONALLICENCE 700 1- Husted Henrik The Lundbeck Centre for Fast-track Hip and Knee Arthroplasty, Copenhagen, Denmark aut NATIONALLICENCE 700 1- Kehlet Henrik Section of Surgical Pathophysiology, Rigshospitalet, Copenhagen University, Copenhagen, Denmark aut NATIONALLICENCE 773 0- Knee Surgery, Sports Traumatology, Arthroscopy Springer Berlin Heidelberg 23/3(2015-03-01), 831-837 0942-2056 23:3<831 2015 23 167