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simultaneous vs staged bilateral total knee arthroplasty among medicare beneficiaries, 2000–2009论文.pdf

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The Journal of Arthroplasty 28 Suppl. 1 (2013) 87–91 Contents lists available at ScienceDirect The Journal of Arthroplasty journal homepage: www.art Simultaneous vs Staged Bilateral Total Knee Arthroplasty Among Medicare Beneﬁciaries, 2000–2009 Michael P. Bolognesi, MD a, Tyler Steven Watters, MD a, David E. Attarian, MD, FACS a, Samuel S. Wellman, MD a, Soko Setoguchi, MD, DrPH b a Department of Orthopaedic Surgery, Duke University Medical Center, Durham, North Carolina b Duke Clinical Research Institute, Duke University School of Medicine, Durham, North Carolina a r t i c l e i n f o a b s t r a c t Article history: Simultaneous bilateral total knee arthroplasty (TKA) reportedly has higher postoperative complication rates Received 13 August 2012 than staged procedures, but little is known about recent trends and outcomes among Medicare patients. In a Accepted 30 May 2013 5% national sample of Medicare beneﬁciaries older than 65 years, we identiﬁed 83,441 patients who underwent elective TKA between 2000 and 2009 and compared patients undergoing simultaneous bilateral Keywords: TKA (n = 4519) to staged TKA (n = 3788). Use of simultaneous TKA did not change over time (3 in 10,000), simultaneous bilateral total knee arthroplasty but use of staged TKA increased three-fold from 1.4 to 4.4 in 10,000 person-years. We assessed length of stay; staged bilateral total knee arthroplasty Me