COMPARATIVE STUDY
JOURNAL ARTICLE

Simultaneous bilateral versus unilateral computer-assisted total knee arthroplasty: a prospective comparison of early postoperative pain and functional recovery

Gautam M Shetty, Arun Mullaji, Sagar Bhayde, Ramesh Chandra Vadapalli, Devanshu Desai
Knee 2010, 17 (3): 191-5
19786351
Whether simultaneous bilateral TKAs (SBTKAs) are more painful and the postoperative functional recovery slower compared to staged bilateral TKAs or unilateral TKAs are issues that frequently concerns patients. The purpose of the current study was to compare the early postoperative pain, function and recovery in simultaneous bilateral versus unilateral computer-assisted TKA. In this prospective study, 50 consecutive patients undergoing unilateral computer-assisted total knee arthroplasties (TKAs) were compared with 50 consecutive patients undergoing SBTKAs in terms of pain, length of hospital stay and rehabilitative milestones during the immediate postoperative period. The mean visual analogue pain scores, mean knee range of motion, straight leg raising and extensor lag were equal in both the groups at the time of discharge. Patients in the SBTKA group lagged behind the unilateral group in stick walking by approximately 24 h. The results of this study demonstrate excellent pain relief and functional recovery with simultaneous bilateral computer-assisted TKAs comparable to unilateral TKAs. Patients eligible for bilateral TKAs can undergo them simultaneously without excessive pain or slower functional outcome.

Full Text Links

Find Full Text Links for this Article

Discussion

You are not logged in. Sign Up or Log In to join the discussion.

Related Papers

Remove bar
Read by QxMD icon Read
19786351
×

Save your favorite articles in one place with a free QxMD account.

×

Search Tips

Use Boolean operators: AND/OR

diabetic AND foot
diabetes OR diabetic

Exclude a word using the 'minus' sign

Virchow -triad

Use Parentheses

water AND (cup OR glass)

Add an asterisk (*) at end of a word to include word stems

Neuro* will search for Neurology, Neuroscientist, Neurological, and so on

Use quotes to search for an exact phrase

"primary prevention of cancer"
(heart or cardiac or cardio*) AND arrest -"American Heart Association"