Bilateral simultaneous total knee arthroplasty with ERAS protocol, where are we at?
Refereed conference paper presented and published in conference proceedings
CUHK Authors
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AbstractBackground: Bilateral simultaneous total knee arthroplasty (TKR) has great financial and recovery advantages over bilateral staged TKR. Together with Enhanced Recovery After Surgery (ERAS) pathways these advantages are further potentiated. This study aimed to determine the outcomes of simultaneous bilateral TKR performed in a joint replacement centre and university teaching hospital in Hong Kong for the last two years.
Methods: This study retrospectively reviewed patient data from Prince of Wales Hospital and Alice Ho Miu Ling Nethersole Hospital. A total of 110 patients underwent bilateral TKR from 1st April 2021 to 1st April 2023 were included, while unicompartmental knee arthroplasty and staged bilateral TKR procedures were excluded. All patients underwent standardised ERAS protocol. Post-operative complication, transfusion, readmission frequency and the length of stay were
recorded. Functional outcomes were evaluated by Knee Society Score (KSS) and Knee Functional Score (KFS) up to 2-years of post-operative follow-up.
Results: The average length of stay of patients was 5.23 days. No reoperations were needed. Transfusion rate was 6.36% and with one pint of transfusion given on average. No post-operative surgical complication that required readmission or reoperation was recorded. One case required readmission for medical complications. Mean KSS for both knees were above 92 (Right knee 92.39; Left knee 92.07) and mean KFS was 80.6.
Conclusions: The outcomes of bilateral simultaneous TKR were satisfactory and comparable to staged TKR, and with the advantage of shortened length of stay and rehabilitation time, yet there was no significant increase in post-operative complications
Methods: This study retrospectively reviewed patient data from Prince of Wales Hospital and Alice Ho Miu Ling Nethersole Hospital. A total of 110 patients underwent bilateral TKR from 1st April 2021 to 1st April 2023 were included, while unicompartmental knee arthroplasty and staged bilateral TKR procedures were excluded. All patients underwent standardised ERAS protocol. Post-operative complication, transfusion, readmission frequency and the length of stay were
recorded. Functional outcomes were evaluated by Knee Society Score (KSS) and Knee Functional Score (KFS) up to 2-years of post-operative follow-up.
Results: The average length of stay of patients was 5.23 days. No reoperations were needed. Transfusion rate was 6.36% and with one pint of transfusion given on average. No post-operative surgical complication that required readmission or reoperation was recorded. One case required readmission for medical complications. Mean KSS for both knees were above 92 (Right knee 92.39; Left knee 92.07) and mean KFS was 80.6.
Conclusions: The outcomes of bilateral simultaneous TKR were satisfactory and comparable to staged TKR, and with the advantage of shortened length of stay and rehabilitation time, yet there was no significant increase in post-operative complications
All Author(s) ListTsun Chiu, Jonathan Patrick Ng, Kevin Ki Wai Ho, Michael Tim Yun Ong, Patrick Shu Hang Yung
Name of ConferenceThe HKOA 43rd Annual Congress of The Hong Kong Orthopaedic Association
Start Date of Conference04/11/2023
End Date of Conference05/11/2023
Place of ConferenceHong Kong
Country/Region of ConferenceHong Kong
Year2023
Month11
PublisherHong Kong Academy of Medicine Press
Place of PublicationHong Kong
Pages140 - 140
LanguagesEnglish-United States
