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Single-staged Bilateral Revision Knee Prosthesis Results

Total knee arthroplasty (TKA) can become impaired in the functionality of the bone-prosthetic unit for various reasons, thereby leading to prosthetic loosening. For patients with bilateral aseptic loosening, revision knee arthroplasty surgery is usually performed in different sessions. Today, with d...

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Autores principales: Dülgeroğlu, Turan Cihan, Kozlu, Suleyman, Demirkıran, Nihat Demirhan
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6650183/
https://www.ncbi.nlm.nih.gov/pubmed/31355061
http://dx.doi.org/10.7759/cureus.4699
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author Dülgeroğlu, Turan Cihan
Kozlu, Suleyman
Demirkıran, Nihat Demirhan
author_facet Dülgeroğlu, Turan Cihan
Kozlu, Suleyman
Demirkıran, Nihat Demirhan
author_sort Dülgeroğlu, Turan Cihan
collection PubMed
description Total knee arthroplasty (TKA) can become impaired in the functionality of the bone-prosthetic unit for various reasons, thereby leading to prosthetic loosening. For patients with bilateral aseptic loosening, revision knee arthroplasty surgery is usually performed in different sessions. Today, with developing anesthetic techniques, the patients' intraoperative and postoperative additional medical treatment needs are reduced; there is a reduction in complication rates too. Complications such as laryngospasm, bronchospasm, malignant hyperthermia, respiratory depression, postoperative delirium, or cognitive dysfunction can be seen. In the postoperative period, patient satisfaction, with adequate pain control, makes the rehabilitation of the knee is easier and shortens the duration of hospital stay. In addition, the risks of complications such as deep venous thrombosis, pulmonary embolism, pneumonia, and urinary retention are decreased with early rehabilitation, preventing the development of arthrofibrosis. Maximum recovery in the early postoperative period may be possible with the early recovery of movement. Between the years 2017 and 2018, patients admitted to our hospital for bilateral TKA application due to bilateral aseptic loosening and the early results of the application of bilateral revision TKA in one session with four selected patients are compared according to the requirements for blood transfusion and overall costs. Patient selection was shared with the anesthesiologist and the decision to continue bilaterally was made in the intraoperative assessment. In patients who did not develop any pathologies in the initial operation, the second operation was performed, where the risks of the second operation were not taken into account. As a result, we conclude that bilateral revision TKA application on correct patient selection is a surgical procedure that can be performed safely by an experienced team.
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spelling pubmed-66501832019-07-28 Single-staged Bilateral Revision Knee Prosthesis Results Dülgeroğlu, Turan Cihan Kozlu, Suleyman Demirkıran, Nihat Demirhan Cureus Orthopedics Total knee arthroplasty (TKA) can become impaired in the functionality of the bone-prosthetic unit for various reasons, thereby leading to prosthetic loosening. For patients with bilateral aseptic loosening, revision knee arthroplasty surgery is usually performed in different sessions. Today, with developing anesthetic techniques, the patients' intraoperative and postoperative additional medical treatment needs are reduced; there is a reduction in complication rates too. Complications such as laryngospasm, bronchospasm, malignant hyperthermia, respiratory depression, postoperative delirium, or cognitive dysfunction can be seen. In the postoperative period, patient satisfaction, with adequate pain control, makes the rehabilitation of the knee is easier and shortens the duration of hospital stay. In addition, the risks of complications such as deep venous thrombosis, pulmonary embolism, pneumonia, and urinary retention are decreased with early rehabilitation, preventing the development of arthrofibrosis. Maximum recovery in the early postoperative period may be possible with the early recovery of movement. Between the years 2017 and 2018, patients admitted to our hospital for bilateral TKA application due to bilateral aseptic loosening and the early results of the application of bilateral revision TKA in one session with four selected patients are compared according to the requirements for blood transfusion and overall costs. Patient selection was shared with the anesthesiologist and the decision to continue bilaterally was made in the intraoperative assessment. In patients who did not develop any pathologies in the initial operation, the second operation was performed, where the risks of the second operation were not taken into account. As a result, we conclude that bilateral revision TKA application on correct patient selection is a surgical procedure that can be performed safely by an experienced team. Cureus 2019-05-21 /pmc/articles/PMC6650183/ /pubmed/31355061 http://dx.doi.org/10.7759/cureus.4699 Text en Copyright © 2019, Dülgeroğlu et al. http://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Orthopedics
Dülgeroğlu, Turan Cihan
Kozlu, Suleyman
Demirkıran, Nihat Demirhan
Single-staged Bilateral Revision Knee Prosthesis Results
title Single-staged Bilateral Revision Knee Prosthesis Results
title_full Single-staged Bilateral Revision Knee Prosthesis Results
title_fullStr Single-staged Bilateral Revision Knee Prosthesis Results
title_full_unstemmed Single-staged Bilateral Revision Knee Prosthesis Results
title_short Single-staged Bilateral Revision Knee Prosthesis Results
title_sort single-staged bilateral revision knee prosthesis results
topic Orthopedics
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6650183/
https://www.ncbi.nlm.nih.gov/pubmed/31355061
http://dx.doi.org/10.7759/cureus.4699
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