Dr. A.M.Rajani - Knee Surgeon and Shoulder Surgeon
Dr. A.M.Rajani - Knee Surgeon and Shoulder Surgeon
M.S Orth (Gold Medallist), D-Orth, MBBS
Knee and Shoulder Surgeon
(Arthroscopy & Joint Reconstruction)
Orthopaedic Arthroscopy Knee and Shoulder Clinic (OAKS) - arthroscopy surgeon

Bilateral Total Knee Replacement

Bilateral one stage total knee replacement surgery is one in which both the knees are replaced in one sitting. Usually the most painful knee joint is operated upon first and is followed by the less painful knee joint. The anesthesia and preparation time is 2 hrs and the surgical time is 3 hrs.

» Benefits of Bilateral Single Stage Knee Replacement
Single Anesthesia
Balanced Rehabilitation
Reduced Cost
Single Hospitalization

Disadvantages of Bilateral Single Stage Knee Replacement :
» Requirement for blood transfusion
» One day ICU observation
» Hospital stay extended by 3 days

» Selection of Patients
Even though most patients have bilateral knee osteoarthritis, not all patients are selected for bilateral single stage surgery.
The exclusion criteria are :
» Uncontrolled diabetes mellitus
» Very poor heart condition
» Other severe medical problems


» Preparations a day Before Surgery :
» Reservation of at least 2 packed cells for transfusion
» Reservation of ICU bed for single day observation

» Preparation in the Operation Theatre :
Combined spinal and epidural anaestheisa is being given for a bilateral knee replacement



» After Surgery :
  • Walking with walker is initiated on day 2 after surgery.
  • Stair climbing is initiated on day 4 after surgery.
  • Walking with tripod stick is initiated on day 6 after surgery.
  • Patient is discharged on day 7 after surgery.

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