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The thought of a knee replacement is daunting. But what if both knees need repair? Is one visit to the operating room better than two?
Can You Have Two Knee Replacements At The Same Time
If you’re fine, it’s worth having a conversation with your doctor and rehab team. There are some advantages to replacing both joints during a single surgery (called simultaneous replacement). These include anesthesia only once, fewer days in hospital, and only one (albeit prolonged) rehabilitation allowing normal activities to be resumed sooner than two separate ones.
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Simultaneous replacement may also be a good option if the condition of your joints is so bad that replacing just one joint would still leave you unable to function during physical therapy, thus slowing your recovery. That said, having two separate operations several months apart (called a phased replacement) reduces the frequency of some complications.
Analyzing thousands of knee replacement procedures, Mayo Clinic researchers found that people who have simultaneous knee replacements are more likely to develop dangerous blood clots or die within 30 days than those who have a single surgery knee, although these complications are rare in general. But because the possibility is there, people over 80 and those with cardiovascular or lung disease are usually offered staged procedures. If you have significant medical risks, it’s probably worth having two separate operations.
Because you spend less time in the hospital with simultaneous joint replacement, it is slightly less expensive. But when both joint replacements are medically necessary, Medicare and most private insurers usually cover either approach.
Whether you’re replacing one knee or two, participating in a rehabilitation program will be an important factor in the success of your implant. Think of yourself as an athlete training to come back from an injury. Several times a day, you will need to perform exercises that your physical therapist has recommended to restore the movement of the knee joint and strengthen the muscles that surround it. Also, ask your doctor when you can soon return to specific activities such as driving, work, sex, or sports, and what you will need to do to reach those goals.
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For more details about your options when considering joint replacement surgery, including nonsurgical treatments, purchase Knees and Hips, a special report from Harvard Medical School.
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Get helpful tips and guidance for everything from fighting inflammation to finding the best diets for weight loss…from exercises to build a stronger core to cataract treatment tips. PLUS, the latest news on medical advances and breakthroughs from experts at Harvard Medical School. Knee arthroplasty, or artificial total knee replacement, is a procedure to replace the arthritic (diseased) parts of the joint with artificial joint components (usually the end surfaces). of bones).
Total Knee Replacement After 50
Knee pain caused by arthritis can seriously affect your ability to lead an active life. Knee replacement is becoming an increasingly common way to treat the condition in older people and people with severe arthritis or knee injuries.
If your doctor recommends knee arthroplasty as a treatment, it’s helpful to know the anatomy of the knee to understand which parts will be affected by the surgery. The knee joint is made up of:
Articular cartilage, the smooth surfaces at the end of the femur and the end of the tibia, are what get damaged when arthritis occurs.
In a total knee replacement procedure, the damaged end of the femur and the end of the tibia are removed and replaced with prostheses, an artificial part made of metal and plastic.
Should I Have A Double Knee Replacement Or One At A Time?
A plastic button can also be placed under the patella if the patella is also damaged. Similarly, the ligament that stabilizes each side of the knee joint is retained or replaced with a polyethylene pole.
If you still experience pain after trying all other arthritis treatments, your doctor may recommend a total knee replacement.
The goal of surgery is to allow you to resume your normal activities with less pain and more freedom of movement.
The main reason for replacing any arthritic joint with an artificial joint is to prevent the bones from rubbing against each other and causing pain. Replacing the painful arthritic joint with an artificial joint gives the bones new surfaces, which move smoothly without causing pain.
The Pros And Cons Of Minimally Invasive Knee Replacement Surgery
Knee arthroplasty is recommended when all other treatment options have failed to resolve your knee problems. Total knee replacement is a major surgery that you need to prepare for.
Before surgery, your orthopedic surgeon will evaluate whether a total knee replacement is the best treatment for your condition based on the results of a series of tests including:
Your doctor may recommend that you stop taking certain medications and supplements before surgery. You will also be asked not to eat anything for 8 hours before your surgery.
These days, a total knee replacement surgery can be an outpatient procedure that takes 1-2 hours. However, there are some cases where a 1-4 day hospital stay will be required.
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Before surgery, an intravenous (IV) line will be inserted into your vein to give you fluids and medications. You will be given general anesthesia or spinal/epidural anesthesia.
There are different ways to do the surgery. Your doctor may choose to make a cut in the front of the knee to remove the damaged surfaces of the thighbone and tibia, as well as parts of the joint. Later, the orthopedic surgeon will replace it with the artificial parts.
If your doctor chooses to perform minimally invasive surgery, a shorter cut will be made in the front of the knee. This type of surgery will reduce damage to the muscle and tendon.
After surgery, you will need to stay in the recovery room for 1-2 hours for observation. Once your pulse, breathing and blood pressure are stable, you will be taken to your hospital room or allowed to go home.
Double Knee Replacements
You will need help to walk and it will be necessary to have a companion at all times.
You will also need to temporarily use crutches, a walker or a cane to help with mobility.
Within a month, you can expect pain to decrease and flexibility to improve within a month. Your progress will depend on your activities after surgery, including knee exercises to strengthen the muscles and prevent swelling.
Mount Elizabeth Hospitals are among the leading medical institutions in Asia and the Pacific, with over 40 years of experience in two award-winning hospitals.
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Our positive track record and clinical track record in treating orthopedic and sports-related conditions such as knee pain has earned us the trust of patients in Singapore and across the region.
Our experienced orthopedic surgeons will be able to provide you with personalized care options for a wide range of knee conditions, including knee pain.
From non-invasive physical therapy to open surgery procedures and rehabilitation programs, we can plan a flexible and personalized treatment program to suit your needs.
Gout is a form of arthritis that affects around 1% of the population and 6 times more men than women.
Should You Have Knee Replacement Surgery?
Joint pain from cartilage damage can be severely debilitating. Dr Chin Pak Lin, orthopedic surgeon at Gleneagles Hospital, discusses options for early identification and treatment of damaged cartilage.
Let’s take a closer look at how and why joint replacement surgery is an effective solution for severe joint pain.
Younger and more active Singaporeans suffer from osteoarthritis in their knees. Learn about the different types of knee replacements that can help with your knee problems. Between 4% and 6% of knee replacement surgeries are double knee replacements, 1 Suleiman LI, Edelstein AI, Thompson RM, Alvi HM, Kwasny MJ, Manning DW. Perioperative outcomes after unilateral versus bilateral total knee arthroplasty. J Arthroplasty. 2015;30(11):1927-30. during which the patient’s two knees
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