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. 2018 Apr-Jun;9(2):107-111.
doi: 10.1016/j.jcot.2017.05.013. Epub 2017 Jun 1.

Is simultaneous bilateral total knee arthroplasty safe in geriatric population? A retrospective cohort study with upto 9 years follow up

Raju Vaishya  1 , Vipul Vijay  1 , Kapil Mani K C  1 , Amit Kumar Agarwal  1
Affiliations

Is simultaneous bilateral total knee arthroplasty safe in geriatric population? A retrospective cohort study with upto 9 years follow up

Raju Vaishya et al. J Clin Orthop Trauma. 2018 Apr-Jun.

Abstract

Introduction: Considering the old age, uncertain life expectancy, co-morbidities and fear of postoperative complications, elderly patients often hesitate to undergo simultaneous bilateral total knee arthroplasty (SBTKA).

Materials & methods: A retrospective study of SBTKA in 46 patients (92 knees) of age >70 years done between 2003 and 2012. Mean age was 80.13 ± 5.24 years (range -70-93 years).

Results: 74 percent had 1 or more major medical problems. There was a significant improvement of KSS at six months (p value = 0.00).

Conclusion: With expected benefits of surgery, SBTKA seems a safe, efficient, and viable procedure for carefully selected elderly patients.

Keywords: Bilateral; Complications; Nonagenarian; Octogenarian; Total knee arthroplasty.

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Figures

Fig. 1
Fig. 1
Pie diagram showing the percentage of patients with preoperative comorbidities. (Abbreviations: HTN, hypertension; DM, diabetes mellitus; CAD, coronary artery disease; COPD, chronic obstructive pulmonary disease; AF, atrial fibrillation)
Fig. 2
Fig. 2
Bar diagram showing Knee Society Score at pre-operatively, six months, and one year after surgery.
Fig. 3
Fig. 3
AP & Lateral radiographs showing fixation of medial condyle fracture with screws in a TKA.
See this image and copyright information in PMC

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