Bilateral Knee Replacement Surgery Abroad
Bilateral Knee Replacement Surgery
In knee replacement surgery (arthroplasty) a damaged, worn or diseased knee is replaced with an artificial joint.
Knee replacement is a routine operation for knee pain when the knee joint has been severely damaged, most commonly by arthritis. It’s as effective and reliable as hip replacement. There are two main types of surgery, depending on the condition of the knee: total knee replacement and half (partial) knee replacement.
- Upper prosthesis
- Lower prosthesis
Why knee replacement is necessary ?
Knee replacement surgery (arthroplasty) is usually necessary when a health condition or injury disrupts the normal working of the knee joint so that : –
- your mobility is severely reduced
- you experience pain even while resting….
How the knee should work ?
The knee joint acts as a hinge between the bones of the leg.
It is actually two joints: The major joint is between the thigh bone of the upper leg (femur), and the shin bone of the lower leg (tibia). The smaller joint is between the kneecap (patella) and the femur….
Bilateral Knee Replacement
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…..
Who should consider bilateral knee replacement?
Patients who have severe knee arthritis in both knees may be candidates for bilateral knee replacement surgery. The same criteria used to determine if a single knee requires replacement are used to determine if both should be done..
What are the risks of a simultaneous bilateral knee replacement?
There are concerns about performing a simultaneous knee replacement because it is a longer surgery and is more demanding on the body. Because of this, patients who have cardiovascular problems, pulmonary disease, or are over the age of 80 are often advised against a simultaneous knee replacement procedure….
What are the benefits of a bilateral knee replacement?
The benefit of simultaneous knee replacement is that both problems are taken care of at one time. The overall rehabilitation is a shorter time, and there is only one hospitalization. Patients also only require one anesthesia. …
Is having a bilateral knee replacement my decision to make?
Yes and no. Patients who are appropriate candidates for a simultaneous knee replacement can decide if they want both surgeries at the same time. However, your doctor may recommend against a simultaneous procedure if you have medical conditions that may place you in a higher risk category. …
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. …
Risks of surgery
- Infection of the wound. This will usually be treated with antibiotics, but occasionally the wound can become deeply infected and require further surgery. Very occasionally, it requires replacement of the artificial knee joint.
- Fracture in the bone around the artificial joint during or after surgery. Treatment will depend on the location and extent of the fracture.
- Excess bone forming around the artificial knee joint and restricting movement of the knee. Further surgery may be able to remove this and restore movement.
- Excess scar tissue forming and restricting movement of the knee. Further surgery may be able to remove this and restore movement.
- The kneecap becoming dislocated. Surgery can usually repair this.
- Numbness in the area around the wound scar……
Recovering from Knee Replacement
In the surgical ward, you may be given a switch to enable you to self-administer painkillers at a safe rate, and you may be given oxygen through a mask or tubes. If necessary, you’ll be given a blood transfusion….
How soon will I be up and about?
As quickly as possible the staff will help you to get up and walk about. If you have had minimally invasive surgery you may even be able to walk on the same day as your operation.
Walking with a frame or crutches is encouraged. Most people will be walking independently with sticks after about a week…
How will I feel when I get home?
Don’t be surprised if you feel very tired at first. You’ve had a major operation and muscles and tissues surrounding your new knee will take time to heal. Follow the advice of the surgical team and don’t be afraid to call your GP if you have any particular worries or queries.
You may be eligible for a home help and there may be other aids that can help you.
You may also want to make your own arrangements to have someone to help you out for a week or so….
How long will it be before I feel normal?
You should be able to get rid of your crutches or walking frame three to six weeks after surgery and resume normal leisure activities. However, it may take up to three months for your pain and swelling to settle down…
When can I go back to work?
It depends on your job, but usually between six and 12 weeks after your operation….
Will I need another new knee?
The knee can be replaced as often as necessary, although results tend to be slightly less effective each time. Recovery may take longer, but once you have recovered the results are usually good….
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