We observe that the problem is usually bilateral in patients who apply to our outpatient clinic with knee pain and limitation of movement. According to the examinations and examinations, the most frequently asked question in patients for whom we decided to have total knee replacement surgery for both knees is whether the surgical procedure will be performed separately for each knee or at the same time in a single session for each knee.
Total knee prosthesis surgeries are operations performed on patients with advanced knee arthrosis who do not benefit from non-surgical methods or smaller surgical procedures. The goal is to relieve pain, correct curvature, and provide greater range of motion. It is the operation of removing the calcified bone in the knee joint and the soft tissues that have lost its quality on them, replacing them with metal coating and placing high-density hard plastic between them.
Differences of Single or Double Session Surgeries
Advantages of performing both knee surgeries at the same time; Good, excellent functional, that is, movement gain, the risk of anesthesia is unique, the postoperative rehabilitation can be applied symmetrically and the cost is lower. However, factors such as doubling the duration of surgery and anesthesia in a single operation, and increased blood loss during and after the operation compared to a single knee appear as disadvantages.
In patients who will undergo major surgery such as knee prosthesis surgery, consultations and examinations, especially Internal Medicine, Cardiology and Anesthesia, are very important before the operation. Detection of cardiovascular system disease, presence of diabetes, presence of infection focus in the body of the patients may lead to the development of complications during or after the surgery. The general health status and age of the patient, which is revealed by the examination of these situations, helps us in the decision of how many sessions the surgery will take.
In our clinic, our general approach is to operate both knees at the same time in patients under the age of 70, unless there is a significant health problem. The average hospital stay is four days, the need for blood transfusion is 2 Units, the average hospitalization time is seven days, and the need for blood transfusion is 4 Units in patients who we have operated on as a single knee in a single session. We did not detect any significant difference.
Knee prosthesis surgeries, which are a solution to regain pain-free knees and to walk comfortably, are applied very successfully with our experienced team. It is our first priority to experience the stress and difficulties of the surgery once, if the patient’s health condition allows.