Bilateral Knee replacement Cost in Bangkok, Thailand

সাধারণত একটি ইমপ্লান্টের জীবন 20-25 বছর হয়, সুতরাং পুনর্বিবেচনা শল্যচিকিত্সার উদ্বেগটি এতটা বিরক্তিকর নয়।

Weight gain, decreased endurance, cardiac and pulmonary conditions are all concerns for people who put off joint replacement for too long.In patients who wait too long, the osteoarthritis deteriorates their function.

Diabetes doesn't seem to raise risks after knee replacement.Increasing age and history of cardiac disease increases the risk of cardiac complication after TKR.If you have high blood pressure and if it is under control, there is no reason to worry about not having a safe and successful surgery.Even if your blood pressure becomes elevated during surgery you will be given intravenous medication to reduce it. Consult your cardiologist if you are planning to undergo the surgery beacuse some medicine doses are modified accordingly.

Usually the life of an implant is 20-25 years, hence, the concern of revision surgery is not that bothersome.

Consult your doctor one week before the surgery. You can also let the case manager know about the medications, they can double check with the treating surgeon.

US made FDA approved implants are used.They are of two types coated and non-coated made up of cobalt.

Four recent technology includes Computer-assisted total knee replacement, Minimally invasive surgery, Painless surgery and Stichless surgery.

Bilateral knee replacement surgery involves one or two surgery in which both knees are being replaced at same time.

Knee replacement is the surgery which is done for replacing a damaged, worn and diseased knee by using an artificial joint. This surgery aims to relieve pain and to restore the proper function or the knee joint.

There are two types of knee replacement surgery which is being decided by the degree of dysfunction of jointm

1. Total knee replacement- This process involves replacing of the complete knee joint with an artificial joint, this procedure is best for obese patient having severe joint dysfunction

Partial knee replacement-This procedure is done only if one side of the knee is being damaged then this is recommended. This procedure is less extensive and it only involves small incision

If you have by tired all the non operative treatment such as lifestyle remedies, physical therapies and injections then you should consult an orthopedic surgery for the surgery.

Artificial knee consist od metal and metal graded plastic known as polyethylene. There are two ways by which the components get attached to the bones one is by using the bone cement and the other is cement free approach in which a clear coating is being placed over the components which allows growth of the bone.

Artificial knee joint lasts for more than 25 years but if there is some wear and tear then it can affect its lifespan. In younger people revision is needed.

Bilateral knee replacement is done when both of the knees are being affected, this is a painful degenerative condition which can reduce your mobility and make difficulty in managing the tasks.

The most common reason for bilateral knee replacement surgery is to get relieve from the pain which is being caused due to osteoarthritis. Some people have difficulty in walking, climbing stairs and getting out of chair.

• Double knee replacement- When both the knees are being replaced at the same time it usually involves one or two surgeries.
• Staged bilateral knee replacement- In this knee replacement each knee is being replaced at a different time. The surgery may involve any combination of total knee replacement or partial knee replacement.
• Simultaneous bilateral knee replacement- In this knee replacement both of your knees will be replaced during the same surgery.

The safety of the bilateral knee replacement surgery is controversial some studies have shown higher rate of complication which leads to death whereas other have shown no increase in rate of complication.

You can go for bilateral knee replacement if the pain in your knees is interfering  with your daily activities and negatively affecting your quality of life.

Bilateral knee replacement surgery is generally considered as a safe procedure it has got low risks and complication rates.

The surgery lasts for 2.5-3 hours. Its is of three different types.The standard incision most widely used in total knee replacement surgery is the midline incision.

Three types of anaesthesia can be given such as general anaesthesia, spinal or epidural and a regional nerve block anaesthesia. Your doctor will decide the most suitable type of anaesthesia usually combination is being used.

The complete procedure of bilateral knee replacement will take around 60 to 90 minutes to co complete.

First an incision is being made in the front of your knees to expose the damaged area of joint. The size of standard incision  varies from 6-10 inches in length. At the time of surgery the surgeon moves your knee cap to the side and the other cuts a small amount of bone. At last the damaged tissues are being replaced with new metal and plastic components. These components combine to  form an artificial joint.

It will take around two hours for bilateral knee replacement surgery.

In  bilateral knee replacement surgery first the doctor will make an incision in the knee area and then resurface the knee joint with prosthesis which is being made up of a metal or a plastic. Most common type of prosthesis being used for knee replacement are cemented prosthesis and placing the incision will be closed with stitches or surgical staples and a drain will be placed at the incision site for removing the fluid and a sterile bandage or a dressing will be placed.

Bilateral knee replacement surgery is being done by an orthopedic surgeon.

Bilateral knee replacement surgery will take around 60 to 90 minutes to perform.

In bilateral knee replacement surgery first the bone is prepared and the damaged cartilage surfaces at the ends of femur and tibia are removed along with some amount of the underlying bone. Then the metal implants are placed and the patella surface is resurfaced at last spacer is being inserted.

Patient is independent and ambulant within 4-5 days of surgery. Within 24 hours of surgery the patient is made to stand.

Person can start community walking within 2 weeks and can climb the stairs after 4-5 days and driving after 4-6 weeks.

It is not mandatory but if the patient is willing for physiotherapy He/She can take it for 2-3 weeks post surgery. The physiotherapy is provided to patient during hospitalization and patient learns the exercises to be done post discharge.

All implants are MRI compatible. An implant card is given to the patient that can be shown at airport check.

It is recommended after 6 weeks.

You will be discharged from the hospital 2-3 days after the surgery.

You will definitely have some pain after the surgery but your team will make sure that you should have minimum pain. You will be given pain medications for managing your pain

After recovery from the surgery your knees will be less painful than it was before. There will be a bandage placed over your knee and you will have to drain it to remove fluid from the joint. If urinary catheter is being placed then  doctor will remove it next day after the surgery.

You need to wear compression garment or a bandage around your knees to improve the blood circulation. After surgery a physiotherapist will help you to bend straight and strengthen your knees and to walk with your new knees. Once you return home your therapy will continue for few weeks a after the surgery

Most people are able to recover within 3 months of the surgery even though it may take upto 5 months or more.

People who have got bilateral knee replacement will be recovered within a week and they can return back to their normal work within four to six weeks after surgery.

The recovery after bilateral knee replacement is usually 13 weeks, after 13 weeks you are ready to resume your normal activities.

Some people have some difficulty in kneeling after bilateral knee replacement but if you are uncomfortable you should avoid kneeling.

The risks associated with both simultaneous and staged bilateral knee replacement surgeries include infection, blood clots, heart attack, stroke, nerve damage, failure of the artificial joint, potential necessity for blood transfusion. People over age 65 are more likely to experience complications from double knee replacement surgery. Men are also at a greater risk for complications than women.

Double knee replacement surgery recovery will take minimum 13 weeks and after three weeks you will be ready to resume your regular activities.

Depending on the type of surgery you have undergone you may need to use an assistive device for few weeks during your recovery, these devices will help you in performing some activities such as walking, using restroom and dressing room.

After your double knee replacement surgery you should avoid sitting on stools, sofas, rocking chair or any other chair which are too low. When you are getting up from chair use the arm of chair, walker or crutches to for getting up.

It will take about three weeks after surgery when you will be able to walk. Your physiotherapist will tell you to do some will tell you if you need to add more exercise to your daily life. Almost an year is needed for everything to get settle and to get strength in knees so that you can easily perform all activities.