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Should You Have Both Knees Replaced at the Same Time? – Health Essentials from Cleveland Clinic

Whether you’ve got the battered knees of an athlete otherwise you to find that Knee ache is slowing you down as you age, you most probably know you could want a knee alternative quickly. But if each knees harm, must you’ve got them changed at the identical time?

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You can, says orthopedic surgeon Kenneth Greene, MD. But there are dangers that include having the two Surgical procedures concurrently.

“I explain to every patient that, clearly, knee replacement is a major operation,” he says. “When we do two at the same time, it puts more stress and strain on your body.”

If you’re making an allowance for simultaneous knee replacements, which is also referred to as bilateral alternative, right here’s what you must know.

Why have simultaneous knee replacements?

The major advantage of bilateral knee replacements is comfort, Dr. Greene says. It’s one Surgical Procedure time, one time away from paintings and one restoration length.

Other than that, there aren’t any particular scientific advantages to having each knees changed at the identical time.

Simultaneous surgical procedures would possibly shorten your rehabilitation, he says. But you’ll nonetheless want to undertake an competitive method for your energy and versatility coaching to maximise your restoration.

What are the dangers of bilateral surgical procedure?

It doesn’t topic whether or not you’ve got one surgeon acting the surgical procedures consecutively or if two surgeons whole the surgical procedures at the identical time. You’ll face a number of dangers both method, Dr. Greene says.

Longer anesthesia — Because changing each knees takes longer, you’ll spend extra time underneath anesthesia. This could also be introduce greater chance, specifically when you have pre-existing center or lung illness.

More blood loss — Thanks to progressed tactics, blood loss from a unmarried knee alternative is most often restricted, Dr. Greene says. However, when you have simultaneous replacements, you’ll have the next chance of desiring a blood transfusion because of hemoglobin loss, he says.

Blood clot chance — The chances are small, however some information issues to the next chance of pulmonary embolism, a blood clot that breaks off and hotels to your lungs. If this occurs, the consequence once in a while is deadly.

Hospital re-admission — After two knee replacements, you’ll have an greater likelihood of going to a rehabilitation facility as an alternative of going at once house following a unmarried joint alternative. And spending extra time in rehab boosts your chance of finishing up again in the health center, Dr. Greene says.

Who is a superb candidate for bilateral alternative?

The best possible applicants are those that are energetic and feature energy in the muscle tissues, ligaments and tendons round their knees.

You’ll additionally fare higher in case your normal well being is excellent. It’s best possible when you have few different scientific issues, reminiscent of any center or lung illness.

Even then, Dr. Greene says, you must method simultaneous surgical procedure cautiously.

“If you’re young, healthy and a risk-taker, you can contemplate doing both knees,” he says. “I inform folks the day of surgical procedure, even though, to inform me which knee is worse. That method, if the anesthesiologist tells me we want to forestall after one knee — which in fact hasn’t took place  the extra symptomatic knee is mounted.”

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Should You Have Both Knees Replaced at the Same Time? – Health Essentials from Cleveland Clinic


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