Incidence of Deep Vein Thrombosis Following Staged Bilateral and Simultaneous Bilateral Total Knee Arthroplasty

Sarzaeem, Mohammad Mahdi; Amozade Omrani, Farzad; Rostami Abousaidi, Shobeir; Aghaalikhani, Mahdi

doi:10.5812/traumamon.15178

Incidence of Deep Vein Thrombosis Following Staged Bilateral and Simultaneous Bilateral Total Knee Arthroplasty

Authors

Mohammad Mahdi Sarzaeem

Farzad Amozade Omrani

Shobeir Rostami Abousaidi

Mahdi Aghaalikhani

10.5812/traumamon.15178

Abstract

Background: The present study aimed at determining the incidence of deep venous thrombosis (DVT) in 2 groups of patients who underwent simultaneous bilateral total knee arthroplasty (BTKA) or staged bilateral TKA. Methods: Patients with bilateral knee osteoarthritis, who were candidates for BTKA, were divided into 2 groups of patients undergoing either simultaneous bilateral or staged TKA. Incidence of DVT was measured during a 38- month follow- up period and compared between the 2 groups. Results: Finally, 120 patients with a mean age of 68.2 ± 2.3 years were enrolled (65% male). Baseline and demographic data of the 2 groups were not statistically significant (P > 0.05). During the 38- month follow- up, DVT occurred in 2 patients (3.3%) in the staged BTKA group. The incidence of DVT in the 2 studied groups was significantly different (P = 0.12). Conclusions: It seems that performing same- day bilateral TKA does not have higher rates of DVT, when compared to those patients who underwent staged bilateral procedure. Simultaneous bilateral TKA can be a better choice for managing patients who need bilateral osteoarthritis surgery because of the significant reduction of hospital stay using this method.

Keywords

Total Knee Arthroplasty

deep vein thrombosis

osteoarthritis

Treatment outcome

Orthopedic Surgery