Should You Get One or Two Knee Replacements at a Time?

If you’re facing severe knee arthritis or damage in both knees, the question of single versus bilateral knee replacement surgery may come up. Both approaches have their advantages and risks, so the decision should be tailored to your individual health, lifestyle, and goals.

Understanding Knee Replacement

A total knee replacement involves replacing damaged bone and cartilage with prosthetic components, restoring joint functionality and reducing pain. This procedure is highly effective for patients with advanced osteoarthritis, rheumatoid arthritis, or post-traumatic arthritis.

Benefits and Drawbacks of One-at-a-Time Knee Replacement

• Pros:

  • Shorter surgery duration and reduced immediate strain on the body.
  • Easier recovery, as the healthy knee can aid in mobility.
  • Lower risk of complications compared to bilateral procedures.

• Cons:

  • Two separate recovery periods.
  • Prolonged overall downtime, which can impact work and daily activities.

Benefits and Drawbacks of Bilateral Knee Replacement

• Pros:

  • Single anesthesia session and surgical event.
  • One recovery period, saving time in the long term.
  • Potential cost savings due to fewer hospital visits.

• Cons:

  • Higher initial physical demand during recovery.
  • Increased risk of complications, including blood loss and infection.
  • Rehabilitation may be more challenging without a "good" leg to rely on.

Factors to Consider

1. Your Overall Health:
   Patients with a history of heart disease, diabetes, or other medical conditions may fare better with a staged approach.

2. Your Activity Level:
   Active individuals may benefit from bilateral surgery to quickly regain their mobility.

3. Age and Bone Health:
   Younger, healthier patients tend to recover more quickly and are better candidates for bilateral replacement.

4. Pain Tolerance and Support System:
   Managing pain and recovery is easier with help at home.

What to Expect at Garden State Pain and Orthopedics

At Garden State Pain and Orthopedics, we work closely with orthopedic surgeons to create individualized treatment plans. Whether you choose single or bilateral knee replacement, we provide pre- and post-operative care, including physical therapy, to ensure a smooth recovery.