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Bilateral simultaneous TKR can be performed as fast-track procedure

Husted H. J Bone Joint Surg (Br). 2011. doi:10.1302/0301-620X.93B3.25296.

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Bilateral simultaneous total knee replacement is a viable fast-track procedure that produces excellent results, according to Danish investigators.

Henrik Husted, MD, of Hvidovre University Hospital in Copenhagen, Denmark, and colleagues analyzed the outcomes of 150 consecutive, but selected, bilateral simultaneous total knee replacements (TKRs) and compared them with the results of 271 unilateral TKRs in a standardized fast-track setting. The patients were operated on between 2003 and 2009.

Patients in the bilateral simultaneous TKR group stayed longer in the hospital a mean of 4.7 days compared with 3.3 days for the unilateral group. In addition, patients with bilateral simultaneous TKRs required more blood transfusions. However, the 3-month and 2-year outcomes were similar or better in the bilateral simultaneous group with regard to morbidity, mortality, satisfaction, range of motion, pain, the use of a walking aid, and the ability to return to work and to perform activities of daily living.