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Onsets of complications and revisions are not increased after simultaneous bilateral unicompartmental knee arthroplasty in comparison with unilateral procedures

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Abstract

Purpose

The advantages of simultaneous bilateral procedures in joint arthroplasty have been widely described for in total joint replacements of both the hip and the knee. In contrast, unicompartmental knee arthroplasties, despite their effectiveness in pain relieving and functional improvement, are underinvestigated in these terms. The purpose of this study is to assess the possible benefits and risks of bilateral simultaneous knee replacements, in comparison with unilateral procedures.

Methods

A total of 567 surgery reports of bilateral simultaneous (220) or unilateral (347) unicompartmental knee arthroplasties were analysed to collect study parameters. Information like the onset of complications and need for revisions were recorded by phone interview (at least two years after surgery). All surgeries were performed by the same orthopaedic surgeon, assisted by the same anesthesiologist.

Results

Complication and revision rates, as well as the length of hospital stay were similar between the two study groups, while blood and haemoglobin losses, and consequently the use of transfusion of allogeneic and autologous blood units, were higher in the simultaneous bilateral group.

Conclusions

Simultaneous bilateral unicompartmental knee arthroplasties could significantly reduce, if both joints are affected, the length of hospital stay and, therefore, patient management costs. At the same time, they do not lead to more frequent revisions or complications. The higher transfusion of allogeneic blood units could be reduced to unilateral surgery levels by the application of currently available protocols of autologous blood reinfusion.

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Acknowledgments

The authors thank Dr. Matteo Marullo for his precious help in revising the manuscript.

Source of funding

No external source of funding was necessary for the present study.

Conflict of interest

The authors declare that they have no conflict of interest.

Author information

Authors and Affiliations

  1. IRCCS Galeazzi Orthopaedic Institute, via R. Galeazzi 4, 20161, Milan, Italy

    Sergio Romagnoli, Sara Zacchetti, Paolo Perazzo, Francesco Verde & Marco Viganò

  2. Biomedical Sciences for Health, University of Milan, via R. Galeazzi 4, 20161, Milan, Italy

    Giuseppe Banfi

Authors
  1. Sergio Romagnoli
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  2. Sara Zacchetti
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  3. Paolo Perazzo
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  4. Francesco Verde
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  5. Giuseppe Banfi
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  6. Marco Viganò
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Corresponding author

Correspondence to Sara Zacchetti.

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Romagnoli, S., Zacchetti, S., Perazzo, P. et al. Onsets of complications and revisions are not increased after simultaneous bilateral unicompartmental knee arthroplasty in comparison with unilateral procedures. International Orthopaedics (SICOT) 39, 871–877 (2015). https://doi.org/10.1007/s00264-014-2545-1

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  • DOI: https://doi.org/10.1007/s00264-014-2545-1

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