| The clinical comparison of simultaneous bilateral total knee arthroplasty in treatment of osteoarthritis |
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| 引用本文： | Jun Hu,Dunming Guo,Zheng Lü,Jie Liu,Xialin Yu,Zhongnan Zhang. The clinical comparison of simultaneous bilateral total knee arthroplasty in treatment of osteoarthritis[J]. 南京医科大学学报(自然科学版), 2008, 28(3): 172-177 |
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| 作者姓名： | Jun Hu Dunming Guo Zheng Lü Jie Liu Xialin Yu Zhongnan Zhang |
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| 作者单位： | Jun Hu（Department of the Bone and Joint Surgery Center, the First Affiliated Hospital of Nanjing Medical University, Nanjing 210029,Jiangsu Province, China） ;Dunming Guo（Department of the Bone and Joint Surgery Center, the First Affiliated Hospital of Nanjing Medical University, Nanjing 210029,Jiangsu Province, China） ;Zheng Lü（Department of the Bone and Joint Surgery Center, the First Affiliated Hospital of Nanjing Medical University, Nanjing 210029,Jiangsu Province, China） ;Jie Liu（Department of the Bone and Joint Surgery Center, the Changhang Hospital of ShanghaL Shanghai 200122, China） ;Xialin Yu（Department of the Bone and Joint Surgery Center, the Changhang Hospital of ShanghaL Shanghai 200122, China） ;Zhongnan Zhang（Department of the Bone and Joint Surgery Center, the First Affiliated Hospital of Nanjing Medical University, Nanjing 210029,Jiangsu Province, China） ; |
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| 摘 要： | Objective: To evaluate the risk and efficacy of simultaneous bilateral total knee arthroplasty(TKA) in treatment of osteoarthritis when compared with sequential bilateral TKA and unilateral TKA. Methods:A retrospective analysis was performed on 162 patients who underwent TKA from 2003 to 2006. The analyses were adjusted for demographics, preexisting medical conditions, and osteoar- thritis diagnosis. Results:Patients undergoing simultaneous bilateral TKA had significantly lower amounts of blood loss, shorter surgical time, shorter hospitalization time, less hospital charges and lower rates of perioperative complications compared with patients undergoing sequential bilateral TKA. No significant difference was found with regard to postoperative complications between the simultaneous bilateral and the unilateral TKA groups. Patient’s knee range of motion and the postoperative Hospital for Special Surgery scores(HSS) were similar for the three groups. Conclusion:When there are adequate indications for bilateral TKA, simultaneous bilateral TKA is beneficial to patients compared with sequential bilateral or unilateral TKA.
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| 关 键 词： | 骨关节炎 膝关节形成术 手术方法 临床研究 |
| 收稿时间： | 2008-02-27 |
The clinical comparison of simultaneous bilateral total knee arthroplasty in treatment of osteoarthritis |
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| Jun Hu,Dunming Guo,Zheng Lü,Jie Liu,Xialin Yu,Zhongnan Zhang. The clinical comparison of simultaneous bilateral total knee arthroplasty in treatment of osteoarthritis[J]. Acta Universitatis Medicinalis Nanjing, 2008, 28(3): 172-177 |
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| Authors: | Jun Hu Dunming Guo Zheng Lü Jie Liu Xialin Yu Zhongnan Zhang |
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| Affiliation: | 1. Department of the Bone and Joint Surgery Center, the First Affiliated Hospital of Nanjing Medical University, Nanjing 210029,Jiangsu Province, China
2. Department of the Bone and Joint Surgery Center, the Changhang Hospital of ShanghaL Shanghai 200122, China |
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| Abstract: | Objective: To evaluate the risk and efficacy of simultaneous bilateral total knee arthroplasty(TKA) in treatment of osteoarthritis when compared with sequential bilateral TKA and unilateral TKA. Methods:A retrospective analysis was performed on 162 patients who underwent TKA from 2003 to 2006. The analyses were adjusted for demographics, preexisting medical conditions, and osteoarthritis diagnosis. Results:Patients undergoing simultaneous bilateral TKA had significantly lower amounts of blood loss, shorter surgical time, shorter hospitalization time, less hospital charges and lower rates of perioperative complications compared with patients undergoing sequential bilateral TKA. No significant difference was found with regard to postoperative complications between the simultaneous bilateral and the unilateral TKA groups. Patient's knee range of motion and the postoperative Hospital for Special Surgery scores(HSS) were similar for the three groups. Conclusion:When there arc adequate indications for bilateral TKA, simultaneous bilateral TKA is beneficial to patients compared with sequential bilateral or unilateral TKA. |
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| Keywords: | total knee arthroplasty osteoarthritis simultaneous sequential |
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