Patient-reported dissatisfaction following second side in staged bilateral total knee arthroplasty: A systematic review

作     者：Eric Gruenberger Andrew S Bae Tyler Kelly Brent A Ponce James McGrory 

作者机构：The Hughston FoundationColumbusGA 31909United States Department of Orthopedic SurgeryJack Hughston Memorial HospitalPhenix CityAL 36867United States Department ofOrthopedic SurgeryHughston Foundation and Jack Hughston Memorial HospitalColumbusGA 31909United States 

出 版 物：《World Journal of Orthopedics》 (世界骨科杂志（英文版）)

年 卷 期：2022年第13卷第11期

页      面：1029-1037页

学科分类：1002[医学-临床医学] 100210[医学-外科学(含：普外、骨外、泌尿外、胸心外、神外、整形、烧伤、野战外)] 10[医学] 

主　　题：Staged Staggered Sequential Bilateral arthroplasty Total knee arthroplasty Patient-reported outcomes 

摘      要：BACKGROUND Around one third of patients who undergo total knee arthroplasty(TKA)will eventually have the contralateral knee *** patient satisfaction after staged bilateral total knee arthroplasty procedures performed on different days is reportedly similar to unilateral ***,in our anecdotal experience patients often report less satisfying outcomes following the second side.A cursory review of available literature tended to confirm that *** sought therefore to consolidate all of the available data on this issue to further investigate this *** To consolidate available published data revealing satisfaction scores among patients following staged bilateral TKA,and to evaluate the phenomenon of less satisfying results following *** A systematic review of available literature reporting on satisfaction with TKA1 and TKA2 after staged bilateral knee arthroplasty was undertaken using PubMed,Google Scholar,and *** 427 records,five full-length articles met criteria for inclusion in the *** data were then extracted and assessed on the basis of the Reference Citation Analysis(https://***/).RESULTS A total of 1889 patients with an average age of 68(range:38–92)underwent staged bilateral TKA with outcomes reported at 1 year following each TKA with a mean 21.9 mo between surgeries(range:2 d to 14.5 years).Overall satisfaction with both knees was 83.70%(1581)and dissatisfaction with both knees was 2.75%(52).In the remaining 13.56%(256)who were dissatisfied with one side,61.0%were dissatisfied with TKA2,and 39.0%were dissatisfied with ***-reported outcome scores for TKA2 were frequently lower than TKA1 even in patients reporting overall satisfaction with both *** At 1-year follow-up,there was a 50%greater risk of dissatisfaction with TKA2 among the 13.56%of patients reporting dissatisfaction in one knee after staged bilateral *** the interval betwe