Who should have a bilateral total knee replacement?

Who should have a bilateral total knee replacement?
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Arthritis is a progressive inflammation disease affecting the joints. It can affect any one joint, or in serious cases, multiple joints could also be affected. When symptoms of arthritis affect your knee or both of the knees, it simply means that your cartilages are getting degraded and a TKR might be helpful for you. However, your doctor will only insist that you go for a total knee replacement, if your knee pain and inflammation are affecting your routine activities and adversely affecting your quality of life. In majority of patients, a TKR is carried out if their age is above 60, as artificial knees tend to get degraded more rapidly in younger patients due to their engagement in higher physical activities. In case your both knees have been affected by severe arthritis, you might be suggested to undergo a double TKR or bilateral TKR.

In case of severe arthritis in both your knees, you could have significant stiffness leading to difficulty even in performing simple tass such as wearing shoes. In such a case, pain would get bad during weight bearing tasks such as walking. However, this procedure is more risky as compared to a single TKR. Hence, a bilateral TKR is normally recommended only in patients who are

1) Physically fit

2) In overall good state of health and

3) self-motivated to get PT and tedious rehabilitation post surgery to regain their lost movement. The ideal patient suited for a bilateral TKR is generally younger, healthy, not overweight and suffering from pain, stiff knees, and restricted mobility. Patients with major deformity in both knees can also be considered for a bilateral TKR as correction of deformities in both knees will facilitate the patient to tread straighter and aid rehabilitation.

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