Perioperative Outcomes Following Unilateral Versus Bilateral Total Knee Arthroplasty

Linda I. Suleiman; Adam I. Edelstein; Rachel M. Thompson; Hasham M. Alvi; Mary J. Kwasny; David W. Manning

doi:10.1016/j.arth.2015.05.039

Perioperative Outcomes Following Unilateral Versus Bilateral Total Knee Arthroplasty

Linda I. Suleiman, Adam I. Edelstein, Rachel M. Thompson, Hasham M. Alvi, Mary J. Kwasny, David W. Manning^*

^*Corresponding author for this work

Research output: Contribution to journal › Article › peer-review

25 Scopus citations

Abstract

Simultaneous bilateral total knee arthroplasty (SB-TKA) is potentially a cost saving manner of caring for patients with bilateral symptomatic knee arthritis. We performed a retrospective analysis using the 2010-2012 American College of Surgeons National Surgical Quality Improvement Program (ACS-NSQIP) to evaluate the risk of perioperative complication following SB-TKA. Demographic characteristics, comorbidities, and 30-day complication rates were studied using a propensity score-matched analysis comparing patients undergoing unilateral TKA and SB-TKA. A total of 4489 patients met the inclusion criteria, of which 973 were SB-TKA. SB-TKA was associated with increased overall complications (P = 0.023), medical complications (P = 0.002) and reoperation (OR 2.12, P = 0.020). Further, total length of hospital stay (4.0 vs 3.4 days, P < 0.001) was significantly longer following bilateral surgery.

Original language	English (US)
Pages (from-to)	1927-1930
Number of pages	4
Journal	Journal of Arthroplasty
Volume	30
Issue number	11
DOIs	https://doi.org/10.1016/j.arth.2015.05.039
State	Published - Nov 2015

Keywords

Complication
Knee arthroplasty
Outcomes
Simultaneous
Total knee arthroplasty

ASJC Scopus subject areas

Orthopedics and Sports Medicine

Access to Document

10.1016/j.arth.2015.05.039

Cite this

@article{19be99da105e43be89dce1ddef22d4da,

title = "Perioperative Outcomes Following Unilateral Versus Bilateral Total Knee Arthroplasty",

abstract = "Simultaneous bilateral total knee arthroplasty (SB-TKA) is potentially a cost saving manner of caring for patients with bilateral symptomatic knee arthritis. We performed a retrospective analysis using the 2010-2012 American College of Surgeons National Surgical Quality Improvement Program (ACS-NSQIP) to evaluate the risk of perioperative complication following SB-TKA. Demographic characteristics, comorbidities, and 30-day complication rates were studied using a propensity score-matched analysis comparing patients undergoing unilateral TKA and SB-TKA. A total of 4489 patients met the inclusion criteria, of which 973 were SB-TKA. SB-TKA was associated with increased overall complications (P = 0.023), medical complications (P = 0.002) and reoperation (OR 2.12, P = 0.020). Further, total length of hospital stay (4.0 vs 3.4 days, P < 0.001) was significantly longer following bilateral surgery.",

keywords = "Complication, Knee arthroplasty, Outcomes, Simultaneous, Total knee arthroplasty",

author = "Suleiman, {Linda I.} and Edelstein, {Adam I.} and Thompson, {Rachel M.} and Alvi, {Hasham M.} and Kwasny, {Mary J.} and Manning, {David W.}",

note = "Publisher Copyright: {\textcopyright} 2015 Elsevier Inc..",

year = "2015",

month = nov,

doi = "10.1016/j.arth.2015.05.039",

language = "English (US)",

volume = "30",

pages = "1927--1930",

journal = "Journal of Arthroplasty",

issn = "0883-5403",

publisher = "Churchill Livingstone",

number = "11",

}

TY - JOUR

T1 - Perioperative Outcomes Following Unilateral Versus Bilateral Total Knee Arthroplasty

AU - Suleiman, Linda I.

AU - Edelstein, Adam I.

AU - Thompson, Rachel M.

AU - Alvi, Hasham M.

AU - Kwasny, Mary J.

AU - Manning, David W.

PY - 2015/11

Y1 - 2015/11

N2 - Simultaneous bilateral total knee arthroplasty (SB-TKA) is potentially a cost saving manner of caring for patients with bilateral symptomatic knee arthritis. We performed a retrospective analysis using the 2010-2012 American College of Surgeons National Surgical Quality Improvement Program (ACS-NSQIP) to evaluate the risk of perioperative complication following SB-TKA. Demographic characteristics, comorbidities, and 30-day complication rates were studied using a propensity score-matched analysis comparing patients undergoing unilateral TKA and SB-TKA. A total of 4489 patients met the inclusion criteria, of which 973 were SB-TKA. SB-TKA was associated with increased overall complications (P = 0.023), medical complications (P = 0.002) and reoperation (OR 2.12, P = 0.020). Further, total length of hospital stay (4.0 vs 3.4 days, P < 0.001) was significantly longer following bilateral surgery.

AB - Simultaneous bilateral total knee arthroplasty (SB-TKA) is potentially a cost saving manner of caring for patients with bilateral symptomatic knee arthritis. We performed a retrospective analysis using the 2010-2012 American College of Surgeons National Surgical Quality Improvement Program (ACS-NSQIP) to evaluate the risk of perioperative complication following SB-TKA. Demographic characteristics, comorbidities, and 30-day complication rates were studied using a propensity score-matched analysis comparing patients undergoing unilateral TKA and SB-TKA. A total of 4489 patients met the inclusion criteria, of which 973 were SB-TKA. SB-TKA was associated with increased overall complications (P = 0.023), medical complications (P = 0.002) and reoperation (OR 2.12, P = 0.020). Further, total length of hospital stay (4.0 vs 3.4 days, P < 0.001) was significantly longer following bilateral surgery.

KW - Complication

KW - Knee arthroplasty

KW - Outcomes

KW - Simultaneous

KW - Total knee arthroplasty

UR - http://www.scopus.com/inward/record.url?scp=84948713390&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84948713390&partnerID=8YFLogxK

U2 - 10.1016/j.arth.2015.05.039

DO - 10.1016/j.arth.2015.05.039

M3 - Article

C2 - 26072300

AN - SCOPUS:84948713390

SN - 0883-5403

VL - 30

SP - 1927

EP - 1930

JO - Journal of Arthroplasty

JF - Journal of Arthroplasty

IS - 11

ER -

Perioperative Outcomes Following Unilateral Versus Bilateral Total Knee Arthroplasty

Abstract

Keywords

ASJC Scopus subject areas

Access to Document

Other files and links

Fingerprint

Cite this