A retrospective comparative study of bilateral total knee replacement staged at a one-week interval

M. C. Forster, A. J. Bauze, A. G. Bailie, M. S. Falworth, R. D. Oakeshott
2006 Journal of Bone and Joint Surgery  
The clinical results of bilateral total knee replacement staged at a one-week interval during a single hospital admission were compared with bilateral total knee replacements performed under the same anaesthetic and with bilateral total knee replacements performed during two separate admissions. The data were retrospectively reviewed. All operations had been performed by the same surgeon using the same design of prosthesis at a single institution. The operative time and length of stay for the
more » ... h of stay for the one-week staged group were comparable with those of the separate admission group but longer than for the patients treated under one anaesthetic. There was a low rate of complications and good clinical outcome in all groups at a mean follow-up of four years (1 to 7.2). The group staged at a one-week interval had the least blood loss (p = 0.004). With appropriate patient selection, bilateral total knee replacement performed under a single anaesthetic, or staged at a one-week interval, is a safe and effective method to treat bilateral arthritis of the knee.
doi:10.1302/0301-620x.88b8.17862 pmid:16877597 fatcat:xhlopm2fpza5zkdb2ztsfcfkfe