Effect of nighttime total knee arthroplasty on prognosis

doi:10.3969/j.issn.2095-4344.2707

Abstract

Abstract:

BACKGROUND: Whether nighttime surgery will affect the safety and prognosis of patients has been controversial.

OBJECTIVE: To compare the safety and prognosis of daytime surgery versus nighttime surgery in patients receiving total knee arthroplasty.

METHODS: Data of 712 patients who received unilateral total knee arthroplasty from January 2015 to January 2018 in the Binzhou Medical University Hospital were retrospectively analyzed. Of the patients, 615 cases were treated by total knee arthroplasty during daytime hours (8:00-18:00) and the other 97 patients were treated by total knee arthroplasty during nighttime hours (18:01-7:59). The perioperative and postoperative conditions of the two groups of patients were compared. This study was approved by the Medical Ethics Committee of Binzhou Medical University Hospital, China (approval No. LW2016013).

RESULTS AND CONCLUSION: (1) Perioperative period: The operation time in the nighttime surgery group was shorter than that in the daytime surgery group (P < 0.05). The amount of intraoperative bleeding and 24 hours postoperative drainage were more in the nighttime surgery group than that in the daytime surgery group (P < 0.05) There was no statistically significant difference in blood transfusion rate, the incidence of deep vein thrombosis, postoperative infection rate, postoperative periprosthetic infection rate, postoperative fever rate, and length of hospital stay between the two groups (P > 0.05). (2) Prognosis: There was no significant difference in motion range and knee joint function KSS score between the two groups (P > 0.05). (3) The results showed that nighttime surgery did not increase the incidence of adverse reactions after total knee arthroplasty, and did not affect the prognosis of patients.

Key words: knee, osteoarthritis, total knee arthroplasty, daytime surgery, nighttime surgery, prognosis

CLC Number:

Du Changling, Li Jian, Zhang Shoutao, Meng Tao, Wang Jianming, Liu Mingting, Ren Qiang, Shi Hui . Effect of nighttime total knee arthroplasty on prognosis[J]. Chinese Journal of Tissue Engineering Research, 2020, 24(24): 3846-3850.

Figures/Tables 6

References

[1] 中国城市养老指数蓝皮书课题组.中国城市养老指数蓝皮书2017[M].北京:中国发展出版社,2017.
[2] NIEMELAINEN MJ, MAKELA KT, ROBERTSSON O, et al. Different incidences of knee arthroplasty in the Nordic countries. Acta Orthop. 2017;88(2):173-178.
[3] RODRIGUEZ-MERCHAN EC. Total knee arthroplasty using hinge joints: Indications and results. EFORT Open Rev.2019;4(4):121-132.
[4] 李建锋,崔学文.初次全膝关节置换切除滑膜与失血量及关节功能的相关性[J].中国组织工程研究, 2018,22(11):1659-1664.
[5] WILSON I, BOHM E, LUBBEKE A, et al. Orthopaedic registries with patient-reported outcome measures. EFORT Open Rev. 2019;4(6): 357-367.
[6] TZATZAIRIS T, FISKA A, VERVERIDIS A, et al. Minimally invasive versus conventional approaches in total knee replacement/ arthroplasty: A review of the literature. J Orthop. 2018;15(2):459-466.
[7] BEARD DJ, DAVIES LJ, COOK JA, et al. The clinical and cost-effectiveness of total versus partial knee replacement in patients with medial compartment osteoarthritis (TOPKAT): 5-year outcomes of a randomised controlled trial. Lancet. 2019;394(10200):746-756.
[8] 刘鹏,刘平平.股内侧肌入路计算机辅助设计全膝关节置换与传统方案的对比[J].中国组织工程研究,2016,20(22):3205-3211.
[9] WILSON HA, MIDDLETON R, ABRAM S, et al. Patient relevant outcomes of unicompartmental versus total knee replacement: systematic review and meta-analysis. BMJ.2019;364:l352.
[10] ROUSSOT MA, HADDAD FS. The evolution of patellofemoral prosthetic design in total knee arthroplasty: how far have we come? EFORT Open Rev.2019;4(8):503-512.
[11] NAILI JE, WRETENBERG P, LINDGREN V, et al. Improved knee biomechanics among patients reporting a good outcome in knee-related quality of life one year after total knee arthroplasty. BMC Musculoskelet Disord. 2017;18(1):122.
[12] PESKUN C, WALMSLEY D, WADDELL J, et al. Effect of surgeon fatigue on hip and knee arthroplasty. Can J Surg. 2012;55(2):81-86.
[13] FENG JE, NOVIKOV D, ANOUSHIRAVANI AA, et al. Total knee arthroplasty: improving outcomes with a multidisciplinary approach J Multidiscip Healthc.2018;11:63-73.
[14] LARSEN P, KOELNER-AUGUSTSON L, ELSOE R, et al. The long-term outcome after treatment for patients with tibial fracture treated with intramedullary nailing is not influenced by time of day of surgery and surgeon experience. Eur J Trauma Emerg Surg. 2017;43(2):221-226.
[15] FERNANDES S, CARVALHO AF, RODRIGUES AJ, et al. Day and night surgery: is there any influence in the patient postoperative period of urgent colorectal intervention?Int J Colorectal Dis.2016;31(3): 525-533.
[16] 刘新志,赵恒,吴新龙,等.夜间手术对颅内动脉瘤并发蛛网膜下腔出血患者预后的影响[J].中国临床研究,2017,30(8):1078-1080.
[17] GERAEDTS A, SOSEF MN, GREVE J, et al. Is Nighttime Really Not the Right Time for a Laparoscopic Cholecystectomy?Can J Gastroenterol Hepatol.2018;2018:6076948.
[18] PHATAK UR, CHAN WM, LEW DF, et al. Is nighttime the right time? Risk of complications after laparoscopic cholecystectomy at night. J Am Coll Surg. 2014;219(4):718-724.
[19] LEE KT, MUN GH. Is after-hours free-flap surgery associated with adverse outcomes? J Plast Reconstr Aesthet Surg.2013;66(4):460-466.
[20] DALTON MK, MCDONALD E, BHATIA P, et al. Outcomes of acute care surgical cases performed at night. Am J Surg. 2016;212(5):831-836.
[21] RICCI WM, GALLAGHER B, BRANDT A, et al. Is after-hours orthopaedic surgery associated with adverse outcomes? A prospective comparative study. J Bone Joint Surg Am.2009;91(9):2067-2072.
[22] PATEL NM, YOON RS, KOERNER JD, et al. Timing of diaphyseal femur fracture nailing: is the difference night and day? Injury.2014; 45(3):546-549.
[23] SUGIMOTO M, TAKAGI T, SUZUKI R, et al. Influence of night duty on endoscopic therapy for bile duct stones. World J Gastroenterol. 2016; 22(42):9387-9393.
[24] 中华医学会风湿病学分会. 骨关节炎诊断及治疗指南[J]. 中华风湿病学杂志, 2010,14(6):416-419.
[25] KONOPKA JF, LEE YY, SU EP, et al. Quality-Adjusted Life Years After Hip and Knee Arthroplasty: Health-Related Quality of Life After 12,782 Joint Replacements. JB JS Open Access.2018;3(3):e7.
[26] GHOMRAWI HM, EGGMAN AA, PEARLE AD. Effect of age on cost-effectiveness of unicompartmental knee arthroplasty compared with total knee arthroplasty in the U.S. J Bone Joint Surg Am.2015; 97(5):396-402.
[27] NIEMELAINEN MJ, MAKELA KT, ROBERTSSON O, et al. Different incidences of knee arthroplasty in the Nordic countries. Acta Orthop. 2017;88(2):173-178.
[28] BADAWY M, FENSTAD AM, BARTZ-JOHANNESSEN CA, et al. Hospital volume and the risk of revision in Oxford unicompartmental knee arthroplasty in the Nordic countries -an observational study of 14,496 cases. BMC Musculoskelet Disord.2017;18(1):388.
[29] BECKER F, VOSS T, MOHR A, et al. Impact of nighttime procedures on outcomes after liver transplantation. PLoS One. 2019;14(7): e220124.
[30] BRUNSCHOT DM, HOITSMA AJ, VAN DER JAGT MF, et al. Nighttime kidney transplantation is associated with less pure technical graft failure. World J Urol.2016;34(7):955-961.
[31] EMMANOUILIDIS N, BOECKLER J, RINGE BP, et al. Risk Balancing of Cold Ischemic Time against Night Shift Surgery Possibly Reduces Rates of Reoperation and Perioperative Graft Loss. J Transplant. 2017;2017:5362704.
[32] SHARPE JP, WEINBERG JA, MAGNOTTI LJ, et al. Outcomes of operations performed by attending surgeons after overnight trauma shifts. J Am Coll Surg.2013;216(4):791-797, 797-799.
[33] TURRENTINE FE, WANG H, YOUNG JS, et al. What is the safety of nonemergent operative procedures performed at night? A study of 10,426 operations at an academic tertiary care hospital using the American College of Surgeons national surgical quality program improvement database. J Trauma.2010;69(2):313-319.
[34] RASHID RH, ZUBAIRI AJ, SLOTE MU, et al. Hip fracture surgery: does time of the day matter? A case-controlled study. Int J Surg. 2013;11(9):923-925.
[35] TUOMILEHTO N, SOMMARHEM A, SALMINEN P, et al. Postponing surgery of paediatric supracondylar humerus fractures to office hours increases consultant attendance in operations and saves operative room time. J Child Orthop. 2018;12(3):288-293.
[36] ROTHSCHILD JM, KEOHANE CA, ROGERS S, et al. Risks of complications by attending physicians after performing nighttime procedures. JAMA.2009;302(14):1565-1572.
[37] ANDERSON C, SULLIVAN JP, FLYNN-EVANS EE, et al. Deterioration of neurobehavioral performance in resident physicians during repeated exposure to extended duration work shifts. Sleep. 2012;35(8):1137-1146.
[38] VINDEN C,NASH DM,RANGREJ J,et al.Complications of daytime elective laparoscopic cholecystectomies performed by surgeons who operated the night before. JAMA. 2013;310(17):1837-1841.
[39] FOSS NB, KEHLET H. Short-term mortality in hip fracture patients admitted during weekends and holidays.Br J Anaesth. 2006;96(4): 450-454.
[40] O'LOUGHLIN E, SMITHIES WJ, CORCORAN TB.Out-of-hours surgery--a snapshot in time.Anaesth Intensive Care.2010;38(6): 1059-1063.