Bilateral simultaneous total knee arthroplasty with ERAS protocol, where are we at?
Refereed conference paper presented and published in conference proceedings
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摘要Background: 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
著者Tsun Chiu, Jonathan Patrick Ng, Kevin Ki Wai Ho, Michael Tim Yun Ong, Patrick Shu Hang Yung
會議名稱The HKOA 43rd Annual Congress of The Hong Kong Orthopaedic Association
會議開始日04.11.2023
會議完結日05.11.2023
會議地點Hong Kong
會議國家/地區香港
出版年份2023
月份11
出版社Hong Kong Academy of Medicine Press
出版地Hong Kong
頁次140 - 140
語言美式英語
