Prednosti i rizici bilateralnih artroplastika kolena u jednom aktu
Author
Barjaktarović, Radoslav T.Mentor
Mitković, MiloradCommittee members
Milenković, SašaRistić, Branko
Metadata
Show full item recordAbstract
Introduction: Gonarthrosis in a certain number of cases requires surgical treatment – knee
arthroplasty. Bilateral gonarthrosis is a common finding. Patients with bilateral gonarthrosis
can be operated in one procedure, during one course of a hospital stay, which may have
significant advantages over delayed procedure. Bilateral knee arthroplasty in one procedure is
routinely performed in some orthopedic centers, and in other, due to potentially higher risks
of this approach, patients are operated in two surgical procedures with various time intervals
between two arthroplasties. The aim of the study is to determine the advantages and risks of
bilateral knee arthroplasty in one procedure in relation to bilateral total knee arthroplasty in
two procedures.
The aim was to determine the benefits and risks of bilateral knee arthroplasty in one act in
relation to bilateral total knee arthroplasty in two acts.
Methods: Retrospective study, in the first group, 256 patients of both gen...der, who had
bilateral total knee arthroplasty in one act in the Department of Orthopaedic Surgery and
Traumatology, Military Medical Academy in Belgrade from 01. january 2004. to 31.
december 2011. year, in the second group were 165 patients who had bilateral total knee
arthroplasty in two acts in the same department and in the same period. In all cases, an
identical surgical approach and technique was used, with the standard antibiotic prophylaxis
and thromboprophylaxis with low-molecular weight heparins. We assessed the risk of
postoperative mortality, complications, functional outcome, the need for transfusions, and
length of hospital stay.
Results: This analysis shows that in the examined groups of patients, SBTKA and BTKA in
two acts, who had no significant differences in the presence of preoperative comorbidity and
age, there were no statistically significant differences in postoperative 30-day mortality,
postoperative complications, infections and revision surgery. When it comes to the
assessment of the functional outcome and length of hospital stay SBTKA shows significantly
better results compared to BTKA in two acts.
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Conclusion: Results of this study show that SBTKA even in patients with recorded
preoperative comorbidities can be safe and successful procedure with acceptable low
incidence of postoperative complications.