Perioperative Outcomes of Simultaneous Bilateral Total Knee Arthroplasty in Elderly Indian Patients: A Retrospective Study
Aims and Objective: The present study aims to investigate the perioperative outcomes of elderly patients undergoing simultaneous bilateral total knee arthroplasty (SBTKA). Materials and Methods: A retrospective single-center observational study was conducted on elderly patients (>70 years) underg...
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| Format: | Article |
| Language: | English |
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Indian Orthopaedic Research Group
2025-07-01
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| Series: | Journal of Orthopaedic Case Reports |
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| Online Access: | https://jocr.co.in/wp/2025/07/01/perioperative-outcomes-of-simultaneous-bilateral-total-knee-arthroplasty-in-elderly-indian-patients-a-retrospective-study/ |
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| _version_ | 1849405154428715008 |
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| author | Yogesh Chaudhari Ketankumar Thombare |
| author_facet | Yogesh Chaudhari Ketankumar Thombare |
| author_sort | Yogesh Chaudhari |
| collection | DOAJ |
| description | Aims and Objective:
The present study aims to investigate the perioperative outcomes of elderly patients undergoing simultaneous bilateral total knee arthroplasty (SBTKA).
Materials and Methods:
A retrospective single-center observational study was conducted on elderly patients (>70 years) undergoing SBTKA. Perioperative outcomes were assessed, including the incidence of complications such as cardiac and renal dysfunction, rate of transfusion, and total length of stay (LOS). Descriptive statistical measures were used to summarize study parameters.
Results:
The average LOS for patients was 4.71 days. A total of 38 incidences of adverse events were recorded. The most common adverse event was acute kidney injury (17.16%). There was a moderate positive correlation between LOS and complications, as well as LOS and blood transfusion requirements. Patients requiring blood transfusions during their hospital stay had a longer LOS of 5.47 days compared to non-transfused patients (4.45 days). Patients with chronic kidney disease had the highest LOS (5.10 days), followed by those with Parkinson’s disease (5.00 days). The LOS was relatively consistent across different age groups.
Conclusion:
SBTKA is a safe and satisfactory procedure for patients over 70 years old and those with comorbid conditions at a multispecialty hospital with intensive care support. However, delaying surgery when indicated may lead to worse functional outcomes, highlighting the importance of timely intervention. |
| format | Article |
| id | doaj-art-6705ae66e42c43c7a8b52134f6a4574a |
| institution | Kabale University |
| issn | 2250-0685 2321-3817 |
| language | English |
| publishDate | 2025-07-01 |
| publisher | Indian Orthopaedic Research Group |
| record_format | Article |
| series | Journal of Orthopaedic Case Reports |
| spelling | doaj-art-6705ae66e42c43c7a8b52134f6a4574a2025-08-20T03:36:45ZengIndian Orthopaedic Research GroupJournal of Orthopaedic Case Reports2250-06852321-38172025-07-0115728829410.13107/jocr.2025.v15.i07.5852Perioperative Outcomes of Simultaneous Bilateral Total Knee Arthroplasty in Elderly Indian Patients: A Retrospective StudyYogesh ChaudhariKetankumar ThombareAims and Objective: The present study aims to investigate the perioperative outcomes of elderly patients undergoing simultaneous bilateral total knee arthroplasty (SBTKA). Materials and Methods: A retrospective single-center observational study was conducted on elderly patients (>70 years) undergoing SBTKA. Perioperative outcomes were assessed, including the incidence of complications such as cardiac and renal dysfunction, rate of transfusion, and total length of stay (LOS). Descriptive statistical measures were used to summarize study parameters. Results: The average LOS for patients was 4.71 days. A total of 38 incidences of adverse events were recorded. The most common adverse event was acute kidney injury (17.16%). There was a moderate positive correlation between LOS and complications, as well as LOS and blood transfusion requirements. Patients requiring blood transfusions during their hospital stay had a longer LOS of 5.47 days compared to non-transfused patients (4.45 days). Patients with chronic kidney disease had the highest LOS (5.10 days), followed by those with Parkinson’s disease (5.00 days). The LOS was relatively consistent across different age groups. Conclusion: SBTKA is a safe and satisfactory procedure for patients over 70 years old and those with comorbid conditions at a multispecialty hospital with intensive care support. However, delaying surgery when indicated may lead to worse functional outcomes, highlighting the importance of timely intervention.https://jocr.co.in/wp/2025/07/01/perioperative-outcomes-of-simultaneous-bilateral-total-knee-arthroplasty-in-elderly-indian-patients-a-retrospective-study/arthroplastyknee replacementsimultaneous bilateral total knee arthroplastyelderly |
| spellingShingle | Yogesh Chaudhari Ketankumar Thombare Perioperative Outcomes of Simultaneous Bilateral Total Knee Arthroplasty in Elderly Indian Patients: A Retrospective Study Journal of Orthopaedic Case Reports arthroplasty knee replacement simultaneous bilateral total knee arthroplasty elderly |
| title | Perioperative Outcomes of Simultaneous Bilateral Total Knee Arthroplasty in Elderly Indian Patients: A Retrospective Study |
| title_full | Perioperative Outcomes of Simultaneous Bilateral Total Knee Arthroplasty in Elderly Indian Patients: A Retrospective Study |
| title_fullStr | Perioperative Outcomes of Simultaneous Bilateral Total Knee Arthroplasty in Elderly Indian Patients: A Retrospective Study |
| title_full_unstemmed | Perioperative Outcomes of Simultaneous Bilateral Total Knee Arthroplasty in Elderly Indian Patients: A Retrospective Study |
| title_short | Perioperative Outcomes of Simultaneous Bilateral Total Knee Arthroplasty in Elderly Indian Patients: A Retrospective Study |
| title_sort | perioperative outcomes of simultaneous bilateral total knee arthroplasty in elderly indian patients a retrospective study |
| topic | arthroplasty knee replacement simultaneous bilateral total knee arthroplasty elderly |
| url | https://jocr.co.in/wp/2025/07/01/perioperative-outcomes-of-simultaneous-bilateral-total-knee-arthroplasty-in-elderly-indian-patients-a-retrospective-study/ |
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