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Old 02-02-2011, 11:09 PM   #3
Lani
Senior Member
 
Join Date: Mar 2006
Posts: 4,778
Re: Not cancer but a new challenge for me

I almost NEVER make any recommendations on this site, but I would seriously recommend you reconsider your decision to do both knees at the same sitting.

Just one of many articles on the subject (google entrez pubmed, enter complications bilateral versus unilateral total knee replacement to see more):

article is free so you can view it in its entirety


Clin Orthop Relat Res. 2008 Nov;466(11):2617-27. Epub 2008 Aug 14.
In-hospital complications and mortality of unilateral, bilateral, and revision TKA: based on an estimate of 4,159,661 discharges.
Memtsoudis SG, González Della Valle A, Besculides MC, Gaber L, Sculco TP.

Department of Anesthesiology, Hospital for Special Surgery, Weill Medical College of Cornell University, New York, NY 10021, USA.
Abstract
Patients undergoing bilateral total knee arthroplasty (BTKA) may have higher complication rates and mortality than those undergoing a unilateral procedure (UTKA). To evaluate this hypothesis, we analyzed nationally representative data collected for the National Hospital Discharge Survey on discharges after BTKA, UTKA, and revision TKA (RTKA) between 1990 and 2004. The demographics, comorbidities, in-hospital stay, complications, and mortality of each procedure were compared. An estimate of 4,159,661 discharges (153,259 BTKAs; 3,672,247 UTKAs; 334,155 RTKAs) were included. Patients undergoing BTKA were younger (1.5 years) and had a lower prevalence of comorbidities for hypertension (versus UTKA), diabetes, pulmonary disease, and coronary artery disease (versus UTKA and RTKA). The length of hospitalization was 5.8 days for BTKA, 5.3 for UTKA, and 5.4 for RTKA. Despite similar length of hospitalization, the prevalence of procedure-related complications was higher for BTKA (12.2%) compared with UTKA (8.2%) and RTKA (8.7%). In-hospital mortality was highest for patients undergoing BTKA (BTKA, 0.5%; UTKA, 0.3%; RTKA, 0.3%). Patients undergoing BTKA had a 1.6 times higher rate of procedure-related complications and mortality compared with those undergoing UTKA. Outcomes for patients undergoing RTKA for most variables were similar to those for UTKA. BTKA, advanced age, and male gender were independent risk factors for complications and mortality after TKA. LEVEL OF EVIDENCE: Level III, therapeutic study. See the Guidelines for Authors for a complete description of levels of evidence.

PMID: 18704616 [PubMed - indexed for MEDLINE]PMCID: PMC2565056Free PMC Article
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