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Bilateral total joint arthroplasty: the early results from the New Zealand National Joint Registry.
- Source :
-
The Journal of arthroplasty [J Arthroplasty] 2009 Dec; Vol. 24 (8), pp. 1174-7. Date of Electronic Publication: 2008 Dec 03. - Publication Year :
- 2009
-
Abstract
- This study evaluated the mortality rate, major complications, and early outcomes of single anesthetic bilateral total hip and knee arthroplasty compared with unilateral and staged procedures. A total of 37,828 total hip and knee arthroplasties were evaluated with 6-month Oxford 12 scores. Major complications and mortality rates were recorded. Analysis of variance tables were used for statistical analysis. The single anesthetic bilateral group were significantly younger (P < .001), with their age-adjusted postoperative Oxford 12 scores significantly better (P < .001) than the other 2 groups. The surgeons involved, in general, performed more than 25 total knee and hip arthroplasties per year. There was 1 death within the first 6 months occurring in the staged bilateral group and was unrelated to the surgery. The complication rate as reported by patients was low in all groups, and there was no significant difference. The results show that, in selected patients, single anesthetic bilateral total knee or hip arthroplasty is a safe, low-risk procedure with very good patient-generated outcome scores at 6 months when performed by an experienced surgeon.
- Subjects :
- Adolescent
Adult
Aged
Arthroplasty, Replacement, Hip adverse effects
Arthroplasty, Replacement, Hip mortality
Arthroplasty, Replacement, Knee adverse effects
Arthroplasty, Replacement, Knee mortality
Female
Humans
Male
New Zealand
Surveys and Questionnaires
Treatment Outcome
Young Adult
Arthroplasty, Replacement, Hip methods
Arthroplasty, Replacement, Knee methods
Joint Diseases surgery
Registries
Subjects
Details
- Language :
- English
- ISSN :
- 1532-8406
- Volume :
- 24
- Issue :
- 8
- Database :
- MEDLINE
- Journal :
- The Journal of arthroplasty
- Publication Type :
- Academic Journal
- Accession number :
- 19056233
- Full Text :
- https://doi.org/10.1016/j.arth.2008.09.022