Should you replace both knees at same time?

The decision of whether to replace both knees at the same time (bilateral knee arthroplasty) or one knee at a time (unilateral knee arthroplasty) depends on several factors, including:

1. Severity of Arthritis: If both knees are severely affected by arthritis and causing significant pain and functional limitations, bilateral knee arthroplasty may be recommended to address both knees simultaneously.

2. Overall Health and Medical Conditions: Your overall health and medical history play an important role in determining the best approach. If you have significant medical conditions or concerns about undergoing two major surgeries at once, unilateral knee arthroplasty may be preferred.

3. Recovery and Rehabilitation: Bilateral knee arthroplasty requires a longer and more demanding recovery period compared to unilateral knee arthroplasty. You should consider your support system, lifestyle, and ability to commit to an extensive rehabilitation process when making this decision.

4. Surgeon's Expertise: The experience and expertise of your orthopedic surgeon can influence the recommendation. Some surgeons may prefer to perform bilateral knee arthroplasty, while others may advise a staged approach with unilateral knee arthroplasties.

5. Insurance Coverage: It is essential to consider your insurance coverage and financial implications. Some insurance plans may have specific guidelines or limitations regarding bilateral knee arthroplasty.

Ultimately, the decision of whether to replace both knees at the same time or one at a time should be made in consultation with your orthopedic surgeon after carefully considering your individual circumstances, medical history, and preferences. Your surgeon can provide you with detailed information, discuss the risks and benefits of each approach, and help you choose the best option for your situation.