The safety of simultaneous bilateral total knee arthroplasty (TKA) remains controversial. The objective of the current study was to investigate perioperative morbidity and mortality rates within 30 days of simultaneous bilateral TKA. A detailed analysis of medical, surgical and anaesthesia records of 183 consecutive patients who underwent total knee arthroplasty between 2002 and 2006 was performed. The mean age of the patients was 67.6 years old. More than 80% had one or more co-morbidities, but none of them had ASA score greater than class 2. The mean hospital stay was 10 days, and the mean surgical time 156 minutes. Less than half of the patients (42.6%) required blood transfusion. The rate of perimorbidity was 15.3 % and there was no mortality in this series. We believe that simultaneous bilateral total knee arthroplasty is a safe and cost effective option for our patients, provided that patients are selected and informed appropriately.
A survey on the diversity of marine macrogastropoda
in Pulau Songsong, Pulau Bidan and Pulau Telor on the
Northern Straits of Malacca was conducted. Specimens
were collected on rocky shores following NaGISA protocol
and the number of marine macrogastropod were recorded.
Distances and the number of the same species were
converted into Relative Abundance unit (individuals per
100 m2
). A total of 15 species of marine macrogastropoda
were found from seven families namely Neritidae,
Trochidae, Ceriitidae, Littorinidae, Turbinidae, Muricidae
and Potamididae. Seven macrogastropoda species were
newly recorded from these three islands. Morula marginatra
was the most dominant species and Pulau Songsong had
the highest genera and species diversity among the three
islands. (Copied from article).