Bilateral Knee Replacement- A patient guide

Bilateral Knee replacement

Are you thinking about Bilateral Knee replacement? Are you the right candidate for double Knee replacement?

In this article, we are going to dig deeper into double knee surgery numbers, benefits, disadvantages, and other details. So hold tight, and let’s dig deeper.

As we already know, almost 700000 Knee replacement surgeries are performed in the US alone every year. And roughly 4 to 6% of those surgeries are double knee surgeries.

Some of the benefits of Knee replacement Surgery for patients are:

  • High success rate
  • Pain reduction
  • Regain lost mobility
  • Restore active lifestyle and independence

Benefits of Bilateral Knee Surgery

Many people consider undergoing bilateral Knee replacement because they have the following benefits:

Advantages of Bilateral Knee replacement
  • Less hospital stay compared to separate stays with single Knee surgery. An average hospital stay for a single knee replacement surgery is 2-3 days.
  • Less time in returning to work and one time away from work
  • Less time in rehab= Faster recovery time from double knee replacement
  • Sometimes less cost too

Ideal candidate for Double knee

So Mr.John Doe, a subject with moderate to severe osteoarthritis in both the knees and is unable to walk a block or stand for a prolonged time. He may consider going for a bilateral knee replacement to get relief from pain in one go and get back to a healthy life. So is he an ideal candidate?

Not so fast. Let us see who is the ideal candidate for this procedure.

Though there are many above mentioned advantages to the double knee procedure, not everybody is the right candidate for it.

Bilateral Knee Replacement
Bilateral Knee Replacement
  • Age: No Age criteria as such but younger, the better. Every doctor has their rules for the Age of the patient. Some surgeons may not select a 70-year-old patient for bilateral knee surgery, but other surgeons will.
  • Overall good health: Since double knee replacement is more texting on the body, the person must be in excellent health without any heart or lung disease history. Also, if you have diabetes, then you should not be a double knee replacement candidate.
  • Be prepared for intensive rehab after surgery. Usually, after routine knee replacement surgery patient goes home directly and receives in-home physical therapy. But with the bilateral procedure, they may have to stay in rehab facility for rehab work.
  • Bodyweight: A person with excessive body weight is not an ideal candidate. Consult your doctor for more on bodyweight issues.

Types of Bilateral Knee Replacement:

Types of bilateral Knee Replacement

There are 2 types:

  • Simultaneous: With simultaneous double knee surgery, both knees are operated during the same operation. The surgery time is longer compared to unilateral surgery.
  • Staged bilateral Knee: Here, both knees are replaced after a gap of some months.

Both types of surgery may involve total or partial knee surgery.

So do you think yourself an ideal candidate for bilateral knee replacement surgery? 

Here we discussed the selection criteria and benefits of this procedure, but it is my moral duty to let you know the procedure’s disadvantages as well.

Undergoing double Knee replacement can be a big decision, but fact-finding about the procedure from an unbiased point of view can help the patient make an informed decision.

Share your thoughts

Share tour thoughts

Have you or your family member has undergone Knee replacement surgery? Or do you want to share something on this best knee replacement blog post?

Please do so by commenting below so that others can get benefit out of it.


Hi all. Welcome to my website I am Ankur Desai, a licensed physiotherapist in Brampton, Ontario, Canada. I have a special interest in musculoskeletal Physical therapy and more so in Knee rehab.

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