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Volume 3 Issue 6 December (Supplement2) 2015

Original Articles

SIMULTANEOUS BILATERAL TOTAL KNEE REPLACEMENT - A PROSPECTIVE STUDY OF 150 PATIENTS
Umang Shihora

Introduction: The candidate for total knee replacement surgery is usually elderly patients with different other systemic co-morbidities. Continuous epidural analgesia effectively manages postoperative pain, allows early ambulation and reduces mortality in total knee replacement surgery by decreasing deep vein thrombosis and thromboembolism. Materials & Methods: Initially, 200 patients (400 knees) with bilateral osteoarthritis requiring simultaneous total knee arthroplasty. However, 30 patients were excluded after applying the exclusion criteria, and 20 patients refused to participate. One hundred and fifty patients were scheduled for both TKA were enrolled in this prospective study, after obtaining approval from our institutional review board and written informed consent from all participating patients. Results & Conclusion: In our study we have done simultaneous bilateral TKR in 150 patients 300 knees. Duration of surgery was found to be 3 hrs. Blood loss – 600 ml on an average. Overall hospitals stay – 6 days. Knee bending to more than 90 degrees achieved by 4 to 5 days post operatively. Gait training was found to be easier. At the 1-year follow-up, the mean range of motion improved from 100º±7 to 129º±6 (p=0.032), the mean KSS from 100±8 to 160±6 (p<0.001).
Keywords: Bilateral, Knee Replacement, TKR

 
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