The Effect of Prosthesis Design on Blood Loss in Simultaneous Bilateral Total Knee Arthroplasty: Closed-Box versus Open-Box Prosthesis

Reducing Blood Loss in Simultaneous Bilateral Total Knee Arthroplasty

BACKGROUND We asked whether tranexamic acid (TXA) administration could reduce blood loss and blood transfusion requirements after simultaneous bilateral total knee arthroplasty (TKA). This study examined the role of a novel method of TXA administration in TKA. METHODS TXA was administered as a bolus dose of 15 mg/kg 10 min before the inflation of the tourniquet on the first side. This was fol...

Functional outcomes of simultaneous bilateral versus unilateral total knee arthroplasty.

Many patients in need of total knee arthroplasty (TKA) have bilateral symptoms and require surgery to both extremities. Performance of a bilateral procedure under a single anesthetic provides a reduced hospitalization time, an isolated anesthesia risk, a single rehabilitation, and substantial cost savings. While most current research examines postoperative complication rates, the primary purpos...

Simultaneous bilateral versus unilateral total knee arthroplasty. Outcomes analysis.

One hundred consecutive, primary simultaneous bilateral total knee arthroplasties were prospectively compared with 100 consecutive, primary unilateral total knee arthroplasties in reference to relative risk, complications, cost, and need for rehabilitation. All procedures were performed using identical preoperative, intraoperative, and postoperative protocols. Postoperative confusion was approx...

The effect of postoperative pain on postoperative blood loss after sequential bilateral total knee arthroplasty

BACKGROUND Bilateral total knee arthroplasty is generally accompanied by a significant amount of blood loss. We investigated the relationship between the intensity of pain and the amount of blood loss in the early postoperative period after bilateral total knee arthroplasty. METHODS A prospective study was conducted on 91 patients who underwent elective sequential bilateral total knee arthrop...

Systematic Analysis of Painful Total Knee Prosthesis, a Diagnostic Algorithm