CC BY-NC-ND 4.0 · Rev Bras Ortop (Sao Paulo) 2019; 54(06): 709-713
DOI: 10.1055/s-0039-1696682
Artigo Original
Sociedade Brasileira de Ortopedia e Traumatologia. Published by Thieme Revnter Publicações Ltda Rio de Janeiro, Brazil

Cost and Safety Evaluation of Simultaneous Bilateral Total Knee Arthroplasty versus Unilateral Knee[*]

Article in several languages: português | English
1  Instituto de Pesquisa e Ensino (IPE)-Home, Hospital Ortopédico e Medicina Especializada, Brasília, DF, Brasil
,
Paulo Lobo Júnior
1  Instituto de Pesquisa e Ensino (IPE)-Home, Hospital Ortopédico e Medicina Especializada, Brasília, DF, Brasil
,
Darlan Malba Dias
1  Instituto de Pesquisa e Ensino (IPE)-Home, Hospital Ortopédico e Medicina Especializada, Brasília, DF, Brasil
,
Miguel Fernando Ferreira da Silva
1  Instituto de Pesquisa e Ensino (IPE)-Home, Hospital Ortopédico e Medicina Especializada, Brasília, DF, Brasil
,
Anderson Freitas
1  Instituto de Pesquisa e Ensino (IPE)-Home, Hospital Ortopédico e Medicina Especializada, Brasília, DF, Brasil
,
Thaiane Araújo
1  Instituto de Pesquisa e Ensino (IPE)-Home, Hospital Ortopédico e Medicina Especializada, Brasília, DF, Brasil
› Author Affiliations
Further Information

Publication History

28 May 2018

21 August 2018

Publication Date:
13 December 2019 (online)

Abstract

Objective To measure the cost of simultaneous total knee arthroplasty, as well as the costs of total and intensive care unit (ICU) length of stay, perioperative complications and need for blood transfusion compared to the costs of unilateral procedure in a referral hospital, in Federal District, Brazil.

Method The present article is a retrospective study analyzing the medical records of patients admitted for unilateral or bilateral total knee arthroplasty, performed between June 2011 and March 2017. Seventy-four medical records were included in the study for evaluation of data such as total cost of the procedure, comorbidities, complications, days of hospitalization, and need for blood transfusion.

Results A significantly higher incidence of deep vein thrombosis (DVT) was found in unilateral procedures. Compared to the other data, no statistically significant differences were found in the relative costs or in the need for blood transfusion.

Conclusion There was no increase in the cost or in complications when comparing the simultaneous bilateral knee joint replacement procedure with the unilateral procedure, which corroborates most of the literature.

* Study developed at Ipe-Home, Orthopedic Hospital and Specialized Medicine, Brasília-DF. Brazil.