Knee Surg Relat Res.  2017 Jun;29(2):96-103. 10.5792/ksrr.16.009.

Comparison of Short-Term Complications of General and Spinal Anesthesia for Primary Unilateral Total Knee Arthroplasty

• Park YB
• Chae WS
• Park SH
• Yu JS
• Lee SG
• Yim SJ

• KMID: 2379432
• DOI: http://doi.org/10.5792/ksrr.16.009

Abstract

PURPOSE
To compare the occurrences of perioperative complications of two anesthetic techniques (general anesthesia [GA] and spinal anesthesia [SA] in patients undergoing primary unilateral total knee arthroplasty (TKA).
MATERIALS AND METHODS
Patients who underwent unilateral primary TKA due to osteoarthritis from January 2005 to January 2014 were retrospectively reviewed. They were divided into two groups: GA (n=490) and SA (n=746). The operation duration, length of perioperative stay in the operation room and occurrences of adverse events in postoperative 30 days (mean, 29.7±3.1 days) were compared. Before multivariate linear or logistic regression analysis, different baseline characteristics were adjusted in the statistical models.
RESULTS
There were significant intergroup differences in mean age (GA, 68.4±7.2 years; SA, 70.7±7.5 years; p<0.001) and mCCI (GA, 3±1.4; SA, 3.2±1.5; p<0.001). The GA group required longer preoperative room time (+9.4 minutes; p<0.001), postoperative room time (+12.7 minutes; p<0.001), and postoperative hospital stay (+2.5 days; p=0.001) and had more surgical site infections (5 [1%] vs. 0 [0%]; p=0.005) and blood transfusion (205 [41.8%] vs. 262 [35.1%]; p=0.01). No differences in operative duration and other adverse events were identified.
CONCLUSIONS
We should cautiously consider that GA may be associated with slightly increased preoperative and postoperative room times, postoperative hospital stay, transfusion and surgical site infection rates in primary unilateral TKA.

Keyword

Knee; Arthroplasty; Anesthesia; General; Spinal; Complications

MeSH Terms

Anesthesia
Anesthesia, Spinal*
Arthroplasty
Arthroplasty, Replacement, Knee*
Blood Transfusion
Humans
Knee
Length of Stay
Logistic Models
Models, Statistical
Osteoarthritis
Retrospective Studies
Surgical Wound Infection