A surgeon seeks your advice regarding her patient who needs bilateral total knee arthroplasty (BTKA). According to a recent article, which of the following approaches will lead to the BEST outcome?

Total knee arthroplasty (TKA) is one of the most commonly performed orthopedic procedures for patients with osteoarthritis. Whether involving one or both knee joints, TKA can be performed in three different ways:

Possible advantages of BTKA during the same hospital admission include reductions in the operative cost, in-hospital length of stay (LOS), patient’s period of discomfort, and rehabilitation time. However, BTKA surgery is associated with an increase in morbidity and mortality.

A recent comparative effectiveness study analyzed the data from the Nationwide Inpatient Sample (NIS) database collected from 1998 to 2006. NIS consists of the largest all-payer inpatient discharge database in the United States, representing approximately 1,000 hospitals in 38 states. The report involved more than 670,000 admissions for...

You do not currently have access to this content.