Liu J.,Shanghai Changhang Hospital |
Xu L.,Shanghai Changhang Hospital |
Shen J.-M.,Shanghai Changhang Hospital |
Chen X.-L.,Shanghai Changhang Hospital |
And 5 more authors.
Journal of Clinical Rehabilitative Tissue Engineering Research | Year: 2011
Background: There are few reports concerning the peri-operative rehabilitation of two-team simultaneous bilateral total knee arthroplasty (SBTKA) in patients with bilateral end-stage degenerative osteoarthritis (OA) of the knee. Objective: To compare the peri-operative rehabilitation outcomes of OA patients undergoing SBTKA and unilateral TKA (UTKA). Methods: The experiment group composed of 59 OA patients (118 knees) undergoing SBTKA had been given same rehabilitation as the control group that had 80 OA patients undergoing UTKA. The results were compared. Results And Conclusion: In the experiment group, preoperative flexion deformity angle was decreased 5°-22° (averagely 11.2°); postoperatively, the average muscle strength increased 0.8 degree to 5; Average range of motion was ≥95° (110°±15°). Patients were able to walk more than 500 m and go up and down more than 10 stairs without pain or swelling. Upon discharge, average HSS score increased. There was no obvious difference in rehabilitation outcome between the two groups at 3 months after operation. Perioperative rehabilitation with SBTKA can reduce bone loss and postoperative complications, improve patients' functional recovery, but there is no difference in peri-operative rehabilitation outcome between OA patients undergoing SBTKA or UTKA.