Comparison of simultaneous bilateral versus unilateral total knee replacement on pain levels and functional recovery

Abstract Background Total knee replacement is a common operative procedure to improve pain, function, and quality of life in patients with end stage knee osteoarthritis. The current study aimed to compare simultaneous bilateral versus unilateral total knee replacement on pain intensity and recovery of function. Methods A total of 80 patients (bilateral 50, unilateral 30) aged 63.28 (9.4) years undergone total knee replacement participated in the current study. The participants were admitted for 5-7 days in the hospital. Participants in both the group received similar inpatient and outpatient physiotherapy sessions. Pain intensity and function capacity were assessed at baseline, day 7, and day 30 post-operatively using visual analogue scale and lower extremity functional scale, respectively. Repeated measures analysis of variance was used to analyze the data. Results Both groups showed a significant reduction of pain intensity (Day 0, mean 8.9, SD 1.0; Day 30, mean 2.2, SD 1.3 in bilateral total knee replacement; Day 0, mean 8.8, SD 1.1; Day 30, mean 2.0, SD 1.5 in unilateral total knee replacement; p<0.001) and improvement in the functional capacity (Day 0, mean 16.2, SD 10.1; Day 30, mean 55.6, SD 14.6 in bilateral total knee replacement; Day 0, mean 19.1, SD 9.1; Day 30, mean 56.7, SD 15.8 in unilateral total knee replacement; p<0.001) following total knee replacement at 30 days post-operatively. However, there was a non-significant difference noted between bilateral versus unilateral total knee replacement on the reduction of pain intensity (mean changes, 6.9 versus 6.8) and improvement in the functional capacity (mean changes, 39.4 versus 37.6) at 30 days post-operatively (p>0.05). Conclusion Simultaneous bilateral total knee replacement was associated with a similar reduction of pain intensity and recovery of function compared to unilateral total knee replacement, suggesting the use of simultaneous bilateral total knee replacement in patients with bilateral knee osteoarthritis since its costs and rehabilitation process could be reduced compared to staged bilateral total knee replacement.

Comparison of bilateral versus unilateral total knee replacement on pain levels and functional recovery

10.21203/rs.2.15669/v1 ◽

2019 ◽

Author(s):

Ahmad H Alghadir ◽

Zaheen A Iqbal ◽

Shahnawaz Anwer ◽

Dilshad Anwar

Keyword(s):

Total Knee Replacement ◽

Knee Osteoarthritis ◽

Pain Intensity ◽

Knee Replacement ◽

Functional Capacity ◽

Recovery Of Function ◽

Co Morbidity ◽

Significant Difference ◽

Reduction Of Pain ◽

Abstract Background: Total knee replacement (TKR) is a common operative procedure to improve pain, function, and quality of life in patients with severe grade knee osteoarthritis. The current study aimed to compare bilateral versus unilateral total knee replacement (TKR) on pain intensity and recovery of function.Methods: A total of 80 patients (bilateral 50, unilateral 30) aged 63.28 (9.4) years undergone TKR participated in the current study. The participants were admitted for 5-7 days in the hospital. Participants in both the group received similar inpatient and outpatient physiotherapy sessions. Pain intensity and function capacity were assessed at baseline, day 7, and day 30 postoperatively using visual analogue scale (VAS) and lower extremity functional scale (LEFS), respectively. Repeated measures analysis of variance was used to analyze the data. Results: Both the group showed a significant reduction of pain intensity and improvement in the functional capacity following TKR at 30 days post-operatively (p<0.001). However, there was a non-significant difference noted between bilateral versus unilateral TKR on the reduction of pain intensity and improvement in the functional capacity at 30 days postoperatively (p>0.05).Conclusion: Bilateral TKR was associated with a similar reduction of pain intensity and recovery of function compared to unilateral TKR, suggesting the use of Bilateral TKR in patients with bilateral knee osteoarthritis to reduce costs and co-morbidity related to staged bilateral TKR.

Effect of Neurofeedback on Postural Balance and Attention of Women With Knee Osteoarthritis After Bilateral Total Knee Replacement

Journal of Rehabilitation ◽

10.32598/rj.21.1.2843.3 ◽

2020 ◽

pp. 40-53

Author(s):

Ali-Asghar Jamebozorgy ◽

Zeinab Bolghanabadi ◽

Amin Mahdizadeh ◽

Ashkan Irani

Keyword(s):

Total Knee Replacement ◽

Knee Osteoarthritis ◽

Knee Replacement ◽

Postural Balance ◽

Total Knee ◽

Simultaneous bilateral total knee replacement versus unilateral replacement

The Journal of Arthroplasty ◽

10.1016/s0883-5403(06)80138-5 ◽

1993 ◽

Vol 8 (1) ◽

pp. 108

Author(s):

R.L. Worland ◽

D.E. Jessup

Keyword(s):

Total Knee Replacement ◽

Knee Replacement ◽

Total Knee ◽

Bilateral Total Knee Replacement Under One Anesthetic

Clinical Orthopaedics and Related Research ◽

10.1097/00003086-197905000-00028 ◽

1979 ◽

Vol &NA; (140) ◽

pp. 153???158 ◽

Cited By ~ 3

Author(s):

ERNEST L. GRADILLAS ◽

ROBERT G. VOLZ

Keyword(s):

Total Knee Replacement ◽

Knee Replacement ◽

Total Knee ◽

Thalamic Neurometabolite Alterations in Patients with Knee Osteoarthritis Before and After Total Knee Replacement

Journal of Pain ◽

10.1016/j.jpain.2021.03.094 ◽

2021 ◽

Vol 22 (5) ◽

pp. 601

Author(s):

Akila Weerasekera ◽

Erin Morrissey ◽

Minhae Kim ◽

Atreyi Saha ◽

Yang Lin ◽

...

Keyword(s):

Total Knee Replacement ◽

Knee Osteoarthritis ◽

Knee Replacement ◽

Before And After ◽

Staged bilateral total knee replacement

The Bone & Joint Journal ◽

10.1302/0301-620x.96b6.32793 ◽

2014 ◽

Vol 96-B (6) ◽

pp. 752-758 ◽

Cited By ~ 15

Author(s):

C. E. H. Scott ◽

R. C. Murray ◽

D. J. MacDonald ◽

L. C. Biant

Keyword(s):

Total Knee Replacement ◽

Knee Replacement ◽

Total Knee ◽

High prevalence of vitamin D deficiency in elderly patients with advanced osteoarthritis scheduled for total knee replacement associated with poorer preoperative functional state

Annals of The Royal College of Surgeons of England ◽

10.1308/rcsann.2013.95.8.569 ◽

2013 ◽

Vol 95 (8) ◽

pp. 569-572 ◽

Cited By ~ 25

Author(s):

JA Jansen ◽

FS Haddad

Keyword(s):

Vitamin D ◽

Total Knee Replacement ◽

Elderly Patients ◽

Knee Osteoarthritis ◽

Vitamin D Deficiency ◽

Knee Replacement ◽

Functional State ◽

High Prevalence ◽

Outcome Scores ◽

Vitamin D deficiency has been reported previously in patients with osteoarthritis undergoing total hip arthroplasty. We found a high prevalence of vitamin D deficiency in elderly patients with advanced knee osteoarthritis scheduled for total knee replacement and also a significant association with a lower preoperative functional state. A review of the literature is given on vitamin D deficiency in patients with knee osteoarthritis and the association with lower outcome scores after arthroplasty is discussed.

Use of Enoxaparin and Dabigatran for Thrombosis Prevention After Total Knee Replacement

N.N. Priorov Journal of Traumatology and Orthopedics ◽

10.17816/vto20120261-64 ◽

2012 ◽

Vol 19 (2) ◽

pp. 61-64

Author(s):

V. Yu Murylev ◽

Y. A Rukin ◽

P. M Elizarov ◽

A. G Zhuchkov ◽

D. I Terentiev

Keyword(s):

Total Knee Replacement ◽

Enoxaparin Sodium ◽

Knee Replacement ◽

Vena Cava ◽

Preventive Measure ◽

Early Postoperative Period ◽

Peroral Administration ◽

Efficacy And Safety ◽

Significant Difference ◽

Comparative analysis of dabigatran etaxilate and enoxaparin sodium use for prevention of vena cava inferior system thrombosis in patients after total knee replacement in early postoperative period was performed. In 74 patients (1 st group) dabigatran etaxilate and in 127 (2 nd group) enoxaparin sodium was used as a preventive measure. The rate of thrombosis made up 1.35% and 2.4% in the first and second groups, respectively. No significant difference in the volume of perioperative blood loss between the groups was noted. No other hemorrhagic complications were observed. It was shown that in more convenient peroral administration the dabigatran etaxilate efficacy and safety was comparable to enoxaparin sodium.