Experiences Of A Single Surgeon With Simultaneous Bilateral Total Knee Arthroplasty

Maksims Mihailovs, Dārta Jakovicka, Pēteris Studers (Scientific Advisor), Justs Sauka (Scientific Advisor)

Research output: Contribution to conferenceAbstractpeer-review

Abstract

BACKGROUND: Total knee arthroplasty is an effective procedure for patients suffering from knee pain. Since a significant number of patients are known to have bilateral disease, several studies support the concept of simultaneous bilateral total knee arthroplasty (BTKA) because of its shorter hospital stay, faster recovery, and lower cost. However, BTKA is associated with a higher risk of complications, such as increased intraoperative blood loss, venous thromboembolism, and neurologic damage. Therefore, the aim of our study was to present the experience with simultaneous BTKA at the Hospital of Traumatology and Orthopaedics in Riga. 
CASE REPORT: We report two case reports of patients with bilateral knee osteoarthritis. Both patients had severe deformities of the knee joints. During simultaneous BTKA, both patients were placed in the supine position with a pneumatic tourniquet on both legs. Combined spinal and epidural anaesthesia with local infiltration anaesthesia was used. The surgery was performed by a single surgeon. 1. Female,55 years old. Diagnosis - bilateral gonarthrosis. Had bilateral pain in knees for two years. X-ray findings: bilateral knee OA with mechanical axis deviation of both legs: 7° varus deformity on the right and 12° valgus on the left side. Performed surgery - BTKA. After rehabilitation, the range of motion was110°/0°/0° (flexion/extension). The postoperative period was without complications. Hospital stay - 10days. 2. Female, 62 years old. Diagnosis - bilateral gonarthrosis. Had bilateral pain in knees for seven years. X-ray findings: bilateral knee OA with varus deformity in both legs with mechanical axis deviation: 15°on the right and 12° on the left side. Performed surgery - BTKA. After rehabilitation, the range of motion was 100°/0°/0°. No complications in the postoperative period. Hospital stay - 14 days. 
CONCLUSIONS: Bilateral total knee arthroplasty should be performed by a highly experienced team of specialists. This study shows that BTKA is recommended for the treatment of bilateral knee pathology. Both patients had significant improvement in function and no complications during the early postoperative period.
Original languageEnglish
Pages183
Publication statusPublished - 22 May 2021
Event15t Bialystok International Medical Congress for Young Scientists - Bialystok, Poland
Duration: 21 May 202122 May 2021
http://bimc.umb.edu.pl/

Conference

Conference15t Bialystok International Medical Congress for Young Scientists
Country/TerritoryPoland
CityBialystok
Period21/05/2122/05/21
Internet address

Keywords*

  • Knee joint
  • Arthroplasty
  • Osteoarthritis
  • knee osteoarthritis
  • Knee arthroplasty

Field of Science*

  • 3.2 Clinical medicine

Publication Type*

  • 3.4. Other publications in conference proceedings (including local)

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