Skip to main content

Table 1 Results of comparison between same-stage and two-stage total knee replacements (TKRs)

From: Cost, safety, and rehabilitation of same-stage, bilateral total knee replacements compared to two-stage total knee replacements

Parameters

Same-stage, bilateral TKR (n = 95)

Two-stage, bilateral TKR (n = 80)

P

Demographics

 Age (years)

65.6 (51–77, SD 5.31)

68.7 (56–79, SD 6.46)

0.041

 Gender

26 M, 69 F

22 M, 58 F

0.894

 ASA grade

1: 5, 5.26%,

1: 3, 3.75%

<  0.001

2: 90, 94.74%

2: 54, 67.97%,

 

3: 0%

3: 24, 30.07%

 

Implant choice

Triathlon 124 (65.3%)

Attune 66 (34.7%)

Triathlon 112 (70.0%)

Attune 48 (30.0%)

0.505

Pre-operation function

 FS

50.2 (5–80, SD 13.19,

47.3 (5–90, SD 16.00,

0.706

95% CI 47.7–52.9)

95% CI 43.8–50.8)

 

 KS

44.3 (18–79, SD 13.54,

44.5 (12–77, SD 12.82,

0.025

95% CI 41.6–47)

95% CI 41.7–47.3)

 

 OKS

24.9 (8–54, SD 6.69,

25.2 (6–54, SD 7.62,

0.855

95% CI 23.5–26.3)

95% CI 23.5–26.9)

 

Cost-effectiveness

 LOS (days)

6.64 (3–12, SD 2.14,

12.35a (7–65, SD 6.67,

<  0.001

95% CI 6.21–7.07)

95% CI 10.9–13.8)

 
 

6.07b (2–43)

<  0.001

 OTTc (mins) for 2 knees

152.8c (68–478, SD 31.34,

180.3c (111–417c, SD 48.46,

<  0.001

95% CI 147.1–159.2)

95% CI 170–191)

 

 PhyS

14.56d (3–26, SD 4.78,

17.90d (11–37, SD 4.68,

<  0.001

95% CI 13.5–15.6)

95% CI 17.0–18.8)

 

 OccS

3.56d (2–8, SD 1.97,

7.34d (2–24, SD 2.40,

<  0.001

95% CI 3.16–3.96)

95% CI 6.81–7.87)

 

Safety

 PreHb (g/dL)

13.50 (9.8–16.6, SD 1.10,

13.00 (9.1–15.7, SD 1.31,

0.002

95% CI 13.3–13.7)

95% CI 12.7–13.3)

 

 HbD1 (g/dL)

10.47 (7.0–14.1, SD 1.28,

10.93 (7.4–14.1, SD 1.43,

0.003

95% CI 10.2–10.7)

95% CI 10.6–11.2)

 

 HbDrop (g/dL)

3.03 (0.0–6.0, SD 1.21,

2.07 (− 0.1–6.2, SD 1.01,

<  0.001

95% CI 2.79–3.27)

95% CI 1.85–2.29)

 

 Transfusion percentage

8.42% (16 of 190 knees)

3.75% (6 of 160 knees)

0.078

 TV (units) for 2 knees

0.18 (0–6, SD 0.45,

0.09 (0–4, SD 0.76,

0.116

95% CI 0.090–0.27)

95% CI − 0.52–0.70)

 

 SurgCR

7.37% (7 of 95 operations)

5.63% (9 of 160 operations)

0.511

 MedCR

3.68% (7 of 190 knees)

5.63% (9 of 160 knees)

0.386

10.5% (10 of 95 operations)

6.20% (10 of 160 operations)

0.155

RR

3.16% (3 of 95 operation)

4.38% (7 of 160 operations)

0.548

 30-days UPR

2.11% (2 of 95 operations)

6.92% (11 of 160 operations)

0.094

 90-days UPR

4.21% (4 of 95 operations)

9.43% (15 of 160 operations)

0.129

  1. Abbreviations: ALOS average length of stay, ASA American Society of Anesthesiologists, FS Knee Society Function Score, HbD1 haemoglobin level on first day post-operation, HbDrop haemoglobin level drop, KS Knee Society Knee Score, MedCR medical complication rate, OKS Oxford Knee Score, OccS occupational therapy sessions, OTT operation theatre time, PhyS physical therapy sessions, PreHb pre-operative haemoglobin, RR reoperation rate, SD standard deviation, SurgCR surgical complication rate, TV transfusion volume, UPR unplanned readmission, 95% CI 95% confidence interval
  2. Statistically significant P values are presented in bold
  3. apatient-specific total ALOS of 2 knees in an individual patient
  4. bknee-specific ALOS of one knee
  5. cpresented as the total operation time for both knees
  6. dpresented as the total number for both knees