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. 2023 Jan 19;11(1).
doi: 10.2106/JBJS.RVW.22.00194. eCollection 2023 Jan 1.

Bilateral Total Knee Arthroplasty: Current Concepts Review

Kevin Y Wang  1 , Matthew J LaVelle, Anastasia Gazgalis, Joshua M Bender, Jeffrey A Geller, Alexander L Neuwirth, H John Cooper, Roshan P Shah
Affiliations

Bilateral Total Knee Arthroplasty: Current Concepts Review

Kevin Y Wang et al. JBJS Rev. .

Abstract

»: Bilateral total knee arthroplasty (BTKA) is an effective surgical treatment for bilateral knee arthritis and can be performed as a simultaneous surgery under a single anesthetic setting or as staged surgeries on separate days.

»: Appropriate patient selection is important for simultaneous BTKA with several factors coming into consideration such as age, comorbidities, work status, and home support, among others.

»: While simultaneous BTKA is safe when performed on appropriately selected patients, current evidence suggests that the risk of complications after simultaneous BTKA remains higher than for staged BTKA.

»: When staged surgery is preferred, current evidence indicates that complication risks are minimized if the 2 knees are staged at least 3 months apart.

»: Simultaneous BTKA is the economically advantageous treatment option relative to staged BTKA, primarily because of shorter total operative time and total hospital stay.

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Conflict of interest statement

Disclosure: The Disclosure of Potential Conflicts of Interest forms are provided with the online version of the article (http://links.lww.com/JBJSREV/A899).

References

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