Is simultaneous bilateral unicompartmental knee arthroplasty and total knee arthroplasty better than simultaneous bilateral total knee arthroplasty?
0
조회
0
다운로드
1
인용
0
참고문헌
초록
This retrospective study aims to clarify if there are benefits of performing unicompartmental knee arthroplasty (UKA) on just one indicated side in patients who undergo simultaneous bilateral knee arthroplasty.We compared 33 cases of simultaneous bilateral UKA/total knee arthroplasty (TKA) (S-UT) with 99 cases of simultaneous bilateral TKA (S-TT). Comparison included blood tests [C-reactive protein (CRP), albumin, and D-dimer], the incidence of deep vein thrombosis (DVT), range of motion (ROM), and clinical scores before and 1 year after surgery.Clinical scores were not significantly different between the groups. The postoperative flexion angle was significantly better in UKA sides. Blood tests showed that the S-UT had a significantly higher albumin value at 4 and 7 days after surgery. The CRP value at 4 and 7 days, and the D-dimer value at 7 and 14 days after surgery were significantly lower in the S-UT. The S-UT had significantly lower incidence of DVT.In cases of bilateral arthroplasty, if there is an indication on only one side, a better flexion angle can be obtained by UKA on that side, and with less surgical invasion. Moreover, the incidence of DVT is low, which is considered to be a benefit of performing UKA on just one side.
Abstract
This retrospective study aims to clarify if there are benefits of performing unicompartmental knee arthroplasty (UKA) on just one indicated side in patients who undergo simultaneous bilateral knee arthroplasty.We compared 33 cases of simultaneous bilateral UKA/total knee arthroplasty (TKA) (S-UT) with 99 cases of simultaneous bilateral TKA (S-TT). Comparison included blood tests [C-reactive protein (CRP), albumin, and D-dimer], the incidence of deep vein thrombosis (DVT), range of motion (ROM), and clinical scores before and 1 year after surgery.Clinical scores were not significantly different between the groups. The postoperative flexion angle was significantly better in UKA sides. Blood tests showed that the S-UT had a significantly higher albumin value at 4 and 7 days after surgery. The CRP value at 4 and 7 days, and the D-dimer value at 7 and 14 days after surgery were significantly lower in the S-UT. The S-UT had significantly lower incidence of DVT.In cases of bilateral arthroplasty, if there is an indication on only one side, a better flexion angle can be obtained by UKA on that side, and with less surgical invasion. Moreover, the incidence of DVT is low, which is considered to be a benefit of performing UKA on just one side.
참고문헌 (30)
- Leonard L, "An evaluation of the safety and efficacy of simultaneous bilateral total knee arthroplasty", J Arthroplasty, 18(8), pp.972~978 (2003)[DOI]
- Lombardi AV, "Simultaneous bilateral total knee arthroplasties", Clin Orthop Relat Res, 392, pp.319~329 (2001)
- Bullock DP, "Comparison of simultaneous bilateral with unilateral total knee arthroplasty in terms of perioperative complications", J Bone Jt Surg Ser A, 85(10), pp.1981~1986 (2003)[DOI]
- Brown NM, "Total knee arthroplasty has higher postoperative morbidity than unicompartmental knee arthroplasty : a multicenter analysis", J Arthroplasty, 27(8), pp.86~90 (2012)[DOI]
- Laurencin CT, "Unicompartmental versus total knee arthroplasty in the same patient : a comparative study", Clin Orthopaedics Relat Res (1991)[DOI]
- Costa CR, "Unicompartmental and total knee arthroplasty in the same patient", J Knee Surg, 24(4), pp.273~278 (2011)[DOI]
- Horikawa A, "Comparison of clinical outcomes between total knee arthroplasty and unicompartmental knee arthroplasty for osteoarthritis of the knee : a retrospective analysis of preoperative and postoperative results", J Orthop Surg Res, 10(1), pp.1~5 (2015)[DOI]
- Dalury DF, "Unicompartmental knee arthroplasty compares favorably to total knee arthroplasty in the same patient", Orthopedics, 32(4), pp.253~ (2009)
- Longo UG, "No difference between unicompartmental versus total knee arthroplasty for the management of medial osteoarthtritis of the knee in the same patient : a systematic review and pooling data analysis", Br Med Bull, 114(1), pp.65~73 (2015)[DOI]
- Hiranaka T, "Is postoperative flexion angle genuinely better in unicompartmental knee arthroplasty than in total knee arthroplasty? A comparison between the knees in the same patients", Knee, 27(6), pp.1907~1913 (2020)[DOI]
- Newman JH, "Unicompartmental or total knee replacement?", J Bone Jt Surg – Ser B, 80(5), pp.862~865 (1998)[DOI]
- Yoon HS, "Comparison of simultaneous bilateral and staged bilateral total knee arthroplasty in terms of perioperative complications", J Arthroplasty, 25(2), pp.179~185 (2010)[DOI]
- Cohen RG, "Safety and efficacy of bilateral total knee arthroplasty", J Arthroplasty, 12(5), pp.497~502 (1997)[DOI]
- Poultsides LA, "Trends in same-day bilateral total knee arthroplasty", J Arthroplasty, 29(9), pp.1713~1716 (2014)[DOI]
- Hart A, "Simultaneous bilateral versus unilateral total knee arthroplasty : a comparison of 30-day readmission rates and major complications", J Arthroplasty, 31(1), pp.31~35 (2016)[DOI]
- Berend KR, "Perioperative complications of simultaneous versus staged unicompartmental knee arthroplasty", Clin Orthop Relat Res, 469(1), pp.168~173 (2011)[DOI]
- Ahn JH, "Bilateral simultaneous unicompartmental knee arthroplasty versus unilateral total knee arthroplasty : a comparison of the amount of blood loss and transfusion, perioperative complications, hospital stay, and functional recovery", Orthop Traumatol Surg Res, 103(7), pp.1041~1045 (2017)[DOI]
- Kotoura K, "Examination of the condition of the anterior cruciate ligament and lateral femoral tibial articular cartilage in patients undergoing total knee arthroplasty", J Jpn Clin Orthopaedic Assoc (2020)[DOI]
- Hamilton TW, "Radiological decision aid to determine suitability for medial unicompartmental knee arthroplasty:development and preliminary validation", Bone Jt J, 98-B(10), pp.3~10 (2016)[DOI]
- White SH, "Anteromedial osteoarthritis of the knee", J Bone Jt Surg Ser B, 73(4), pp.582~586 (1991)[DOI]
- Kanda Y, "Investigation of the freely available easy-to-use software"EZR"for medical statistics", Bone Marrow Transplant, 48(3), pp.452~458 (2013)[DOI]
- Chan WCW, "One-stage versus two-stage bilateral unicompartmental knee replacement : a comparison of immediate post-operative complications", J Bone Jt Surg Ser B, 91(10), pp.1305~1309 (2009)[DOI]
- Duchman KR, "Differences in short-term complications between unicompartmental and total knee arthroplasty : a propensity score matched analysis", J Bone Jt Surg Am, 96(16), pp.1387~1394 (2014)[DOI]
- Kim YH, "Simultaneous bilateral sequential total knee replacement is as safe as unilateral total knee replacement", J Bone Jt Surg Ser B, 91(1), pp.64~68 (2009)[DOI]
- Sueta D, "Edoxaban enhances thromboprophylaxis by physiotherapy after total knee arthroplasty : the randomized controlled escort-tka trial", Circ J, 82(2), pp.524~531 (2018)[DOI]
- Moshage HJ, "Study of the molecular mechanism of decreased liver synthesis of albumin in inflammation", J Clin Invest, 79(6), pp.1635~1641 (1987)[DOI]
- Kushner I, "The phenomenon of the acute phase response", Ann N Y Acad Sci, 389(1), pp.39~48 (1982)[DOI]
- Yuwen P, "Albumin and surgical site infection risk in orthopaedics : a meta-analysis", BMC Surg (2017)[DOI]
- Lavernia CJ, "Nutritional parameters and short term outcome in arthroplasty", J Am Coll Nutr, 18(3), pp.274~278 (1999)[DOI]
- Tanaka A, "Clinical benefits of UKA as minimally invasive surgery compared with TKA for patient possible to deep flexion", Cent Japan J Orthop Surg Traumatol, pp.519~520 (2014)
