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Órgano Oficial de Difusión Científica de la Federación Mexicana de Colegios de Ortopedia y Traumatología, A.C. (FEMECOT)

2018, Number 2

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Ortho-tips 2018; 14 (2)

Simultaneous bilateral total knee arthroplasty

Torres-Fernández BJ, Pérez-Atanasio JM, González MJJ, Hernández-Salgado AR, Pérez-Hernández J, Gutiérrez-Nolasco R

Language: Spanish
References: 12
Page: 72-77
PDF size: 198.94 Kb.


ABSTRACT

Introduction: The majority of patients with gonarthrosis present it bilaterally, so that there is currently a tendency to perform bilateral total knee arthroplasties, with the aim of improving the pain and functionality of both knees immediately. With regard to safety and complications, we consider that in patients with a low risk of developing thrombosis and performed in hospital centers that have what is necessary to treat possible complications, it is reasonably safe and with a low rate of complications. Methods: We present a series of 20 patients operated simultaneously bilaterally, the two knees in the same surgical act, with a minimum follow-up of two years. Results: The mean time of surgery considering the placement of the two prostheses was 73.25 ± 8.926 minutes, with a minimum time of 60 minutes and a maximum of 90 minutes. Six patients required transfusion of a globular package in the postoperative period. There were no cases of thrombosis or infection. So far, no prosthetic loosening data have been presented. Conclusion: Simultaneous bilateral total knee arthroplasty is an option to treat knee osteoarthritis. In order to carry it out successfully, it is essential to have experienced surgeons, to have all the instruments available and, above all, to select the patient appropriately.


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