Bilateral Knee Replacement Surgery is a surgical procedure in which damaged parts of the knee joint are replaced with artificial parts. The surgery is done by separating the muscles and ligaments around the knee to expose the inside of the joint. The ends of the thigh bone (femur) and the shin bone (tibia) are removed as is often the underside of the kneecap (patella). The artificial parts are then cemented into place.
During the bilateral total knee surgery replacement treatment, the knee surgeon will replace the damaged areas of the knee joint with an artificial knee called prosthesis which is made up of plastic, metal or ceramic. This will help to restore nearly all function of the damaged knee and relieve the arthritis pain. Most of the times, this surgery is done on people over 60 years as younger people tend to wear out their artificial knees more quickly.
There is one or more than surgery involved in total knee replacement surgery. In case, both knees are replaced during the similar time, which is meant bilateral knee replacement. If each knee is replaced at a different time then this is called as a staged bilateral knee replacement. Either the surgery may involve any combination of the total knee replacement or the partial knee replacement. The knee surgeon will help you decide what best choice is for you.
What is the procedure of Bilateral Knee Replacement Surgery?
Former studies reveals that decrease in rate of morbidity after sudden replacement. In young generations, Bilateral knee replacements are safe without cardiac problems
In older patients the risks may be higher. Here it is better to do a sequential TKR (replace one knee first and then replace the other after a gap of one to two months. This involves two periods of hospital stay. Anesthesia is safely given by epidural catheters and postoperative pain relief is continued for 24- 48 hrs.
How is the treatment of bilateral knee replacement surgery?
The bilateral total knee replacement treatment may involve one surgery or two surgeries. If both the knees are replaced at the same time, this is known as simultaneous bilateral knee replacement.
If each knee is replaced at a different time then this is called as a staged bilateral knee replacement. Either the surgery may involve any combination of the total knee replacement or the partial knee replacement
. The knee surgeon will help you decide what best choice is for you.
What are the benefits of bilateral knee replacement surgery?
The benefit to have a bilateral total knee surgery in an ideal candidate include only a surgical event with anesthesia, shorter overall hospital stay, and the ability to rehabilitate both the new knee replacements at the same time. The advantage of the bilateral total knee replacement treatment includes the lower stress level for the cardiovascular system
i.e. on the heart and lungs as well as a low risk of blood transfusion requirement post surgery.
Generally, this procedure is best for the elderly and/or obese patients and those needing serious medical issues. In older patients, this procedure is not applied or obese ones with substantial health conditions such as lung, heart or vascular disorders
as they would be at higher risk for the significant perioperative complications.
What are the risks associated with bilateral knee replacement surgery?
The surgical risk appears to be increased. The types of complications that were more common in patients having the knees done together included: Temporary disorientation after surgery,
the need for blood transfusions
, and Severe cardiac complications
(which can be fatal).
If the complication rates were doubled in same-day both-knee surgery, we'd call that a tie, since you'd have to have the operation twice if you did it on separate surgical dates. However, the complication rates for all the complications listed above are more than double with same-day both-knee surgery. The absolute magnitude of the risk of heart attack
is still not huge, but the difference was noticeable. The risk of needing a blood transfusion goes up considerably, though. So, in view of this, why would anyone want to do them both at once? My observation is there are two sets of feelings on the part of patients about this.
Now, getting the Knee Replacement Surgery in India could be highly beneficial due to highly reduced costs and extremely good medical care available. Medical tourism meant to cover the sufferers across the globe for purpose tour gathering requirements for treatment of acute illness
, elective surgeries such as cardiology, hip replacement, knee replacement, etc.
The government is taking serious initiatives in this regards and is planning to start overseas marketing of India as a medical tourism destination. Indian government gives feedback of Indian global medical tourism  destination, it could capitalize on the low-cost, high-quality medical care available in the country.
What is the recovery of bilateral knee replacement surgery?
This is shorter after double knee replacement surgery as the intervening period between sequential knee replacements is avoided.
Minimum cost of bilateral knee replacement surgery is Rs. 3,25,000 to maximum Rs. 6,50,000.