ABSTRACT
Background@#Unicondylar knee arthroplasty (UKA) is an effective procedure, which reduces pain, increases range of motion, and improves function. UKA could be performed simultaneously or in staged sessions. This study aimed to compare bilateral cementless UKA performed simultaneously and in staged sessions in terms of complications, hemoglobin levels, transfusions, and functional outcomes. @*Methods@#Patients undergoing bilateral UKA for symptomatic medial compartment osteoarthritis were retrospectively analyzed. Of the 73 patients who met the inclusion criteria, 40 underwent surgery simultaneously and 33 underwent surgery in separate sessions. Operative time, length of hospital stay, change in hemoglobin, need for blood transfusion, complications, and functional outcomes were assessed. @*Results@#There was no statistically significant difference between the two groups in demographic data. Simultaneously operated patients had a significantly shorter hospital stay and shorter operative time. Statistically significant improvements in clinical scores were noted in both groups. The degree of improvement in functional scores did not differ between the groups. There was no difference between the two groups in terms of complication rates, but the number of periprosthetic tibial fractures was higher in the simultaneous group. @*Conclusions@#Simultaneous bilateral cementless UKA was more advantageous in terms of cumulative hospital stay and total operation time with similar clinical results when compared to a staged procedure. While the overall complication rate was similar, the rate of periprosthetic fractures was 5% in the simultaneous group.
ABSTRACT
The aim of this study was to compare the short-term clinical and radiological results of anterolateral and posterolateral approaches in total hip arthroplasty
The study included patients who were operated on for hip osteoarthritis. The patients were allocated to one of two groups for applying uncemented total hip prosthesis with the anterolateral or posterolateral approach. They were operated on by one surgical team composed of two senior surgeons. They were clinically evaluated using the Harris Hip Score and radiologically using direct radiographs. Various parameters were recorded in both the groups, including amount of blood loss, surgical time, and duration of hospitalization
A total of 70 patients were followed up for a mean duration of 18 months [range 6-36 months], 34 in the anterolateral group and 36 in the posterolateral group. No statistically significant differences were observed between the anterolateral and posterolateral approaches for a total hip prosthesis in terms of the clinical and radiological results. The most successful results can be obtained using the technique that the surgeon performs better according to his experience of total hip arthroplasty