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Bilateral Knee replacement

Knee replacement also  called  arthroplasty is a surgical procedure wherein the surgeon  resurfaces the damaged bones , and replaces with an artificial implant.The goal of knee replacement is to restore function and relieve pain that cannot be controlled by conservative methods of treatment .  Metal and plastic parts are used to cap the ends of bones that form the knee joint.

In the following sections you will know about:

  1. Types and procedure for knee replacement

  2. Cost of Bilateral knee replacement

  3. Diagnosis and tests for  knee replacement

  4. Leading doctors and hospitals for  knee replacement

  5. Frequently asked questions about  knee replacement

Treatments and Cost Related to Bilateral Knee replacement

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Bilateral Knee replacement Cost In India For A Patient From United States Change Selection

No. of Travellers 2
Days in Hospital 6
Days Outside Hospital 15
Total days in India 21
Treatment Cost USD 8,400

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About Bilateral Knee Replacement

Types of  Bilateral knee replacement

 

  • Simultaneous bilateral knee replacement -When both the knees are replaced at same time in one surgery  its known as simultaneous bilateral  knee replacement ,
  • Staged bilateral knee replacement  - in this  both knees are replaced at different time interval it is called staged bilateral knee replacement.

 

Diagnostic conditions for Knee replacement surgery

Most common cause of knee pain is arthritis  

  • Osteoarthritis – due to normal wear and tear , the cartilage wears away causing the bones to rub against each other , causing stiffness and knee pain.Bone spurs are common in osteoarthritis.
  • Rheumatoid arthritis –is an  auto immune disease condition  , wherein chronic inflammation leads to cartilage loss , pain and stiffness.
  • Traumatic arthritis – usually follows a serious knee injury .
  • Deformities –people with bow legs or knock knees

 

Tests before Knee Replacement Surgery

  • Medical history present and past  – to know about the extent and duration of knee pain , past injury , surgeries performed if any
  • Physical examination done to understand the motion , stability of the joint
  • X rays and MRI to determine the extent of damage , condition of bones and soft tissue .

 

Procedure of knee Replacement surgery

Before surgery

  • Preoperative evaluation to declare you fit for surgery which includes present past medical history , complete blood count , urine analysis , clotting factor testing , ECG ,
  • X-ray and MRI scans to understand the knee condition and choose treatment option .
  • The doctor will also check your regular  medication and even stop few medications  before surgery .
  • Its also recommended to start muscles  strengthening exercises before surgery as people who strengthen their muscles around the knee have a faster easier recovery .

During surgery

  • Usually knee replacement performed under spinal / epidural anaesthesia.
  • The surgeon makes an incision down the centre of knee and cuts the deep tissue to gain access to bone and resurfaces the bones and attaches the implant .If required the patella too is resurfaced and a spacer inserted .
  • The leg is flexed and extended to test the fit of implant and the range of motion .
  • Any deep tissue that was cut is repaired and incision stitched .

After Surgery

  • You will be kept under observation ,  vitals will be monitored on a regular basis 
  • Your knee will be bandaged , a drain placed  to remove fluid , you also may have a catheter,  to improve circulation and to avoid clots after surgery  you may be wearing compression bandage
  • You also will be administered IV antiobiotics and painkillers.
  • You will be walking the day after surgery with help of walker
  • A  physiotherapist will help you do specific exercises for your knee joint , you should be able to resume normal daily activities with few days.

 

Factors Affecting Cost Of Bilateral Knee Replacement Surgery

The cost to the patient depends on a variety of factors like

  • The hospital, the patient chooses.
  • Room –Standard single room, deluxe room, super deluxe room for the number of nights specified (including nursing fee, meals, room rate, and room service).
  • Fee for the team of doctors and OT charges
  • cost of  Implant and medications
  • Standard test and diagnostic procedures.
  • Cost of the follow –up care required after the procedure
  • Physiotherapist cost

 

Complications of knee replacement surgery

Though   the procedure is safe and commonly performed but as with any procedure complications may occur

  • Bleeding
  • Infection
  • Blood clots
  • Incomplete relief of pain , stiffness and instability
  • The replaced knee joint may become loose or dislodged
  • Nerves or blood vessel in area of surgery  may be damaged leading to numbness

 

 

Bilateral Knee Replacement Recovery: 3:49 Min

 

Know more about Bilateral Total Knee Replacement.

Unilateral Knee Replacement Treatment

Revision Single Knee Replacement Cost In India

Knee Meniscectomy Cost In India

Both Knee Replacement together Cost In India

 

Frequently Asked Questions about knee Replacement surgery 


1. What is the anatomy of knee joint ?
Knee joint consists  femur (thigh bone ) and tibia (shin bone )and patella , held together by muscles , tendons and ligaments , bone ends are covered with a layer of cartilage that protects the knee .

2.    When is Knee replacement surgery usually  recommended ?
When there is inflammation and swelling of knee causing marked disruption of daily activities not helped by conservative methods of treatment as also there is Instability of knee ,Bone on bone arthritis as seen on X-ray .Deformities like bow legs .

3.  What is the recommended age for knee replacement ?
There is no age restriction for knee replacement ,Surgeons evaluate each patient individually , generally performed between the age of 50-80 years .

4.    What  are the Conservative methods to avoid knee replacement surgery ?


a)    Anti inflammatory medications and pain killers 
b)    Weight loss- to reduce stress on weight bearing joints like knee
c)    Physiotherapy- usually helps 
d)    Steroid injections into the knee are commonly used for arthritis treatment and are effective in relieving pain .
e)    Injections of hyaluronic acid 
 


5. What are the advantages and disadvantages  of  simultaneous bilateral knee replacement?


i.    Advantages-There is one hospitalization , one surgery , anaesthesia given once and one recovery period ,ability to rehabilitate both knee at the same time 
ii.    Disadvantage – usually requires longer one time hospitalization and more intense rehabilitation 

 

6. What are the positives and negatives impact of  Staged bilateral knee replacement ?
In  this surgery planned to be performed few months apart, usually 3-6 months  in between recovery period .


i.    Positive - lower stress on  heart and lungs , elderly and obese patients are usually treated with staged bilateral knee replacement surgery 
ii.    Negatives - requires two hospitalization and two surgeries .

 

7.  How long does knee replacement  surgery take ?
Usually knee replacement surgery takes about 1.5- 2 hrs for each knee

8.  What are the implants made of ?
The implants are metal and of plastic joined by bone cement or artificial component that grows and attaches to the bone .

9.  What are the signs and symptoms immediately after surgery ?


a)    The knee is covered with bandage , a drain to remove fluid , there  also may be  a catheter,  as well as  compression bandage to improve circulation 
b)    IV antiobiotics and painkillers will be administered 


10. What is the usual  recovery period after surgery ?


i.    Post surgery rehabilitation  is very important , willingness to perform physiotherapy exercises  and make lifestyle changes is essential factor in outcome of surgery .
ii.    You will be walking the day after surgery with help of walker 
iii.    A  physiotherapist will help you do specific exercises for your knee joint , you should be able to resume normal daily activities with few days 
iv.    Low impact exercise within 6-12 weeks 
v.    It may take around 6 months to feel better and about a year to fully regain strength .

 

11.    How long will my replaced knee joint  last ?

Usually till 15-20 years after surgery .

 

12.    What are the limitation of knee replacement surgery ?

 

  •  If you undergo a knee replacement surgery and  its actually a problem of nerve pain , hip pain or circulation,  knee replacement will not help and in such cases pain will persist. 
  • There is a possibility that you will wear out the joint faster if you are overweight , run or play high impact sports .

 

13.What is the success rate of knee replacement surgery ?
More than 90 percent of people experience a reduction in their knee pain and improvement in ability to perform daily tasks . 

 

14.What is the hospitalization period for knee replacement surgery ?
Hospitalization time period  varies to individual cases , mostly between 2-4 days .


 

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