Abstract
Introduction
Bilateral total knee replacement can either be simultaneous, in which both knees are operated in the same sitting, in one day, or staged, in which both knees are operated but not on the same day. With appropriate patient selection, the potential benefits of conducting this procedure in a simultaneous fashion outweigh the possible risks of the procedure. Very few studies have evaluated the results of bilateral knee replacement in a single sitting in Indian population.
Objectives
To determine the functional outcome after simultaneous knee replacement and assessment of the peri and post operative complications
Methods
Patients undergoing bilateral total knee arthroplasty in a single sitting by a single surgeon using standard technique and posterior stabilized cruciate substituting prosthesis. Evaluation was done using Hospital for Special Surgery Knee and Function scores.
Results
The mean knee score improved to 85.81 from 67.83 and the mean function score improved to 83.15 from 69.14. Post operative complications included two cases of acute coronary syndrome, one case of psychosis and another of opiod withdrawal.
Conclusions
Simultaneous bilateral total knee replacement remains an appropriate option in select patients.
