Risk and Benefits of Bilateral Total Knee Replacement Surgery

  • Ettore Vulcano
  • Alejandro González Della Valle
  • Stavros G. Memtsoudis


Bilateral total knee replacements can be performed under the same anaesthetic or so-called “single-stage” (simultaneously or sequentially); or under different anaesthetics or so-called “staged” (during the same or different hospitalizations). The main advantages of single-stage bilateral total knee replacement surgery include good clinical results, the need for a single anaesthetic, lower total amount of pain medication used, shorter overall surgical and rehabilitation time, high patient satisfaction, and possibly lower total cost. The drawbacks of single-stage bilateral total knee replacement surgery include increased risk of perioperative complications. Our institutional guidelines for the selection of patients being considered for single-stage bilateral knee arthroplasty contemplate the exclusion of patients of extreme age—patients with significant end organ dysfunction (i.e. ASA physical status of 3 or greater).


Total Knee Arthroplasties Nationwide Inpatient Sample Oxford Knee Score Wound Infection Rate Allogenic Blood Transfusion 
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Copyright information

© Springer New York 2014

Authors and Affiliations

  • Ettore Vulcano
    • 1
  • Alejandro González Della Valle
    • 1
  • Stavros G. Memtsoudis
    • 2
  1. 1.Department of Orthopaedic SurgeryHospital for Special Surgery, Weill Medical College of Cornell UniversityNew YorkUSA
  2. 2.Department of AnesthesiologyHospital for Special Surgery, Weill Medical College of Cornell UniversityNew YorkUSA

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