Thursday, December 25, 2014

Before bilateral knee replacements

Bilateral knee replacement surgery means that both knees are replaced at the same time. It’s relatively uncommon to have the arthritis in both knees reach the same degree at the same time where a bilateral would be a consideration.  I had a torn ACL and miniscus and it couldn't be repaired so I was contemplating that knee replacement.  I tried physical therapy first because I was told that it might help me with my knees as they kept giving out on me.  I got a second opinion after the physical therapy did not fix the problem.  My next doctor took a Arthritis profile and it showed my other knee was shot.  It had no cartilage in it.  That is when we decided I would get new knees.

Since bilateral knee replacement is a longer surgery there are health risks.  One knee takes about 1½ to 2 hrs therefore a bilateral will take 3-4 hours. Such a long time on the table and a long anesthetic might not be well tolerated by physically compromised patients (such as those with cardiovascular problems, pulmonary disease or are a frail 80+).

I was very lucky to not need home health care.  But normally it is a good idea to have a home support team to help when you get home.

In the weeks before you enter the hospital, your orthopaedic surgeon will order tests to make sure you are healthy enough for surgery. These include:  blood tests, EKG to check your heart, urine tests to check for infection or pregnancy and xrays to check your lungs.  You will also have had both knees x-rayed before you decide to do the surgery.

I researched doctors and found an amazing surgeon.  In fact my insurance company looked him up for me and assured me he was a premium doctor who had an excellent record.My doctor was in Colorado and I made several trips to prepare for the surgery.

I prepared a months worth of meals in the fridge for my husband.  I also stocked up on groceries and the essentials.   I bought lysol disinfecting wipes to take to the hospital to wipe down the rails before and after visits.  My insurance company nurse gave me this advice.

I looked up the procedure so I would know what to expect.


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