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Bilateral knee replacement surgery means that both knees are replaced. Patients who have severe knee arthritis in both knees may be good candidates to undergo bilateral total knee replacement.
In general, there are two types of bilateral knee replacement surgery : -
Simultaneous Bilateral Knee Replacement : -
A simultaneous procedure means that both knees are replaced at the same surgery, in one day.
Staged Bilateral Knee Replacement : -
A staged procedure means that the knees are both replaced, but not on the same day. The second surgery may be performed as early as several days after the initial surgery, or several weeks or months later.
If you have both knees equally painful and stiff, it is possible to have both knees replaced with total knee prostheses during one operation seance, under one anesthesia. The operations are followed by a single rehabilitation period within one hospital stay. Such two simultaneous surgeries are called Simultaneous Bilateral Total Knee Replacement.
Bilateral knee replacement means having both knees replaced. Bilateral knee replacement, or bilateral knee arthroplasty, are not recommended for all patients. The good side is you have only one surgery and one recovery time. Recovery may be slow and difficult at first. You may be hospitalized for a long period of time. The disadvantages of such procedure include a longer time under anesthesia, a longer staying in the hospital and a longer recovery period at your home. Complications of bilateral knee replacement surgery include severe blood loss
Can partial knee replacement be done as a bilateral procedure ?
Yes. The same criteria are used to determine if patients who require bilateral partial knee replacement are appropriate to undergo this procedure as a simultaneous surgery.
Purpose
Knee arthroplasty has two primary purposes: pain relief and improved functioning of the knee joint. Because of the importance of the knee to a person's ability to stand upright, improved joint functioning includes greater stability in the knee.
Pain Relief
Total knee replacement, or TKR, is considered major surgery. Therefore, it is usually not considered a treatment option until the patient's pain cannot be managed any longer by more conservative treatment. Alternatives to surgery are described below.
Walking and knee movement are very important for recovery. Usually the first day after surgery, you'll begin to work with a physical therapist who will teach you exercises to regain full leg and knee movement. During your hospital stay, you'll attend physical therapy one to two times a day. An occupational therapist and nurse discharge planner will help you prepare for your return home.
Your doctor may recommend a continuous passive motion (CPM) machine that bends and straightens your knee. You may be given special elastic stockings to reduce swelling. An anticoagulant medication, such as lovenox, also may be administered to help circulation and prevent blood clots.
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