Safety and outcome of simultaneous bilateral unicompartmental knee arthroplasty: A systematic review

Michael Alexander Malahias; Philip P. Manolopoulos; Fabio Mancino; Seong J. Jang; Alex Gu; Dimitrios Giotis; Matteo Denti; Vasileios S. Nikolaou; Peter K. Sculco

doi:10.1016/j.jor.2021.02.019

Safety and outcome of simultaneous bilateral unicompartmental knee arthroplasty: A systematic review

Michael Alexander Malahias
, Philip P. Manolopoulos
, Fabio Mancino
, Seong J. Jang
, Alex Gu
, Dimitrios Giotis
, Matteo Denti
, Vasileios S. Nikolaou
, Peter K. Sculco

UWA Medical School

Research output: Contribution to journal › Review article › peer-review

13 Citations (Scopus)

Abstract

Purpose: Simultaneous bilateral unicompartmentsl knee arthroplasty (BUKA) is considered safe and effective. We performed a systematic review to assess the postoperative outcomes. Methods: The US National Library of Medicine (PubMed/MEDLINE), Google Scholar, and the Cochrane Database of Systematic Reviews were queried for publications. Results: Ten articles were included with 765 simultaneous BUKA. Overall complication rate was 7.0%, survivorship was 97.6% at mean 17 months follow-up. No differences were reported between simultaneous and staged BUKA. Conclusion: Simultaneous BUKA is as safe as staged BUKA, it is associated with decreased length of stay and operative time, although it has an increased rate of blood transfusion.

Original language	English
Pages (from-to)	58-64
Number of pages	7
Journal	Journal of Orthopaedics
Volume	24
Early online date	20 Feb 2021
DOIs	https://doi.org/10.1016/j.jor.2021.02.019
Publication status	Published - Mar 2021

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10.1016/j.jor.2021.02.019

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title = "Safety and outcome of simultaneous bilateral unicompartmental knee arthroplasty: A systematic review",

abstract = "Purpose: Simultaneous bilateral unicompartmentsl knee arthroplasty (BUKA) is considered safe and effective. We performed a systematic review to assess the postoperative outcomes. Methods: The US National Library of Medicine (PubMed/MEDLINE), Google Scholar, and the Cochrane Database of Systematic Reviews were queried for publications. Results: Ten articles were included with 765 simultaneous BUKA. Overall complication rate was 7.0\%, survivorship was 97.6\% at mean 17 months follow-up. No differences were reported between simultaneous and staged BUKA. Conclusion: Simultaneous BUKA is as safe as staged BUKA, it is associated with decreased length of stay and operative time, although it has an increased rate of blood transfusion.",

keywords = "Bilateral, Knee, Knee arthroplasty, Simultaneous, Staged arthroplasty, Unicompartmental knee arthroplasty",

author = "Malahias, \{Michael Alexander\} and Manolopoulos, \{Philip P.\} and Fabio Mancino and Jang, \{Seong J.\} and Alex Gu and Dimitrios Giotis and Matteo Denti and Nikolaou, \{Vasileios S.\} and Sculco, \{Peter K.\}",

note = "Publisher Copyright: {\textcopyright} 2021 Professor P K Surendran Memorial Education Foundation",

year = "2021",

month = mar,

doi = "10.1016/j.jor.2021.02.019",

language = "English",

volume = "24",

pages = "58--64",

journal = "Journal of Orthopaedics",

issn = "0972-978X",

publisher = "Elsevier",

}

TY - JOUR

T1 - Safety and outcome of simultaneous bilateral unicompartmental knee arthroplasty

T2 - A systematic review

AU - Malahias, Michael Alexander

AU - Manolopoulos, Philip P.

AU - Mancino, Fabio

AU - Jang, Seong J.

AU - Gu, Alex

AU - Giotis, Dimitrios

AU - Denti, Matteo

AU - Nikolaou, Vasileios S.

AU - Sculco, Peter K.

PY - 2021/3

Y1 - 2021/3

N2 - Purpose: Simultaneous bilateral unicompartmentsl knee arthroplasty (BUKA) is considered safe and effective. We performed a systematic review to assess the postoperative outcomes. Methods: The US National Library of Medicine (PubMed/MEDLINE), Google Scholar, and the Cochrane Database of Systematic Reviews were queried for publications. Results: Ten articles were included with 765 simultaneous BUKA. Overall complication rate was 7.0%, survivorship was 97.6% at mean 17 months follow-up. No differences were reported between simultaneous and staged BUKA. Conclusion: Simultaneous BUKA is as safe as staged BUKA, it is associated with decreased length of stay and operative time, although it has an increased rate of blood transfusion.

AB - Purpose: Simultaneous bilateral unicompartmentsl knee arthroplasty (BUKA) is considered safe and effective. We performed a systematic review to assess the postoperative outcomes. Methods: The US National Library of Medicine (PubMed/MEDLINE), Google Scholar, and the Cochrane Database of Systematic Reviews were queried for publications. Results: Ten articles were included with 765 simultaneous BUKA. Overall complication rate was 7.0%, survivorship was 97.6% at mean 17 months follow-up. No differences were reported between simultaneous and staged BUKA. Conclusion: Simultaneous BUKA is as safe as staged BUKA, it is associated with decreased length of stay and operative time, although it has an increased rate of blood transfusion.

KW - Bilateral

KW - Knee

KW - Knee arthroplasty

KW - Simultaneous

KW - Staged arthroplasty

KW - Unicompartmental knee arthroplasty

UR - https://www.scopus.com/pages/publications/85101064691

U2 - 10.1016/j.jor.2021.02.019

DO - 10.1016/j.jor.2021.02.019

M3 - Review article

AN - SCOPUS:85101064691

SN - 0972-978X

VL - 24

SP - 58

EP - 64

JO - Journal of Orthopaedics

JF - Journal of Orthopaedics

ER -

Safety and outcome of simultaneous bilateral unicompartmental knee arthroplasty: A systematic review

Abstract

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