Bilateral Knee Replacement

Knee conditions normally involve disease or injury that can disturb the normal functioning of the joint. This can result in knee pain, weakness, instability, and limited movement. With longer life expectancy and greater activity levels, joint replacement is being performed in greater numbers on patients thanks to new advances in artificial joint technology provided by the orthopedic surgeons at Peninsula Bone & Joint Clinic.

This joint is formed by two or more bones that are connected by thick bands of tissue called ligaments.

The knee is the largest joint in the body and is made up of three main parts:

  • The lower end of the thigh bone, or femur.
  • The upper end of the shin bone, or tibia.
  • The kneecap, or patella.

At some time in life, you may experience knee pain.
When the cartilage has worn away in both knees, an artificial knee (called a prosthesis) can take its place.

The surgery to implant a prosthesis in both knees at the same time is termed a Bilateral Total Knee Replacement. Only the surface of the joint is removed – the arthritic ends of the bones are shaved off and replaced with new metal and plastic surfaces. The knee replacement recreates almost normal function of the knee, and its main goal is to relieve pain. It may also help to restore motion of both knees and straighten the limbs.

Treatment

At some time in life, you may experience knee pain.

When the cartilage has worn away in both knees, an artificial knee (called a prosthesis) can take its place.

The surgery to implant a prosthesis in both knees at the same time is termed a Bilateral Total Knee Replacement. Only the surface of the joint is removed – the arthritic ends of the bones are shaved off and replaced with new metal and plastic surfaces. The knee replacement recreates almost normal function of the knee, and its main goal is to relieve pain. It may also help to restore motion of both knees and straighten the limbs.

What is a Simultaneous Bilateral Total Knee Replacement?

A Simultaneous staged procedure means to replace both knees on the same day, under one anesthesia. This takes place in the same surgical event, within one hospital stay and is followed by a single rehabilitation period.

What is a Staged Bilateral Total Knee Replacement?

The Staged procedure means that both knee replacements take place as two separate surgical events. Surgeries are performed several months apart one from the other, requiring two hospital stays, two anesthesias and two rehabilitation periods.

What are the advantages of a Simultaneous Total Knee Replacement?

The advantages of having a Simultaneous procedure include: only one surgical event, single anesthesia, shorter overall hospital stay and the possibility of rehabilitating the patient symmetrically.

What are the advantages of a Staged Total Knee Replacement?

The advantages of having a Staged procedure include apparently lower stress level for the cardiovascular system, less complications related with the heart and the deep veins, decreased infection rate as well as lower possibility of requiring banked blood after surgery. This is an excellent choice for a patients with cardiac, vascular or pulmonary diseases.

Conditions

  • Anterior Cruciate Ligament
  • Bursitis – pes Anserive
  • Cartilage Injuries
  • Degenerative Joint Disease (Osteoarthritis)
  • Iliotibial Band Syndrome
  • Knee Sprains & Strains
  • Lateral Collateral Ligament Injuries
  • Loose Bodies
  • Medial Collateral Ligament (MCL) Injury
  • Meniscus Tears
  • Osgood Schlaater Disease
  • Osteochondritis Dissecans
  • Osteonecrosis of the Knee
  • Patella Tendonitis
  • Patella Tendon Rupture
  • Patellofemoral Pain Syndrome (Runner’s Knee)
  • Posterior Cruciate Ligament Injury (PCL)
  • Quadriceps Tendon Tear
  • Unstable Kneecap

Treatments

  • Anterior Cruciate Ligament Repair (ACL)
  • Arthroscopic Chondroplasty
  • Arthroscopic Meniscus Repair
  • Autologous Chondrocyte Transplantation
  • Bilateral Knee Replacement Surgery
  • Cartilage Transplant
  • Computer-Assisted Total Knee Arthrhoplasty
  • High Tibial Osteotomy
  • JOURNEY II Total Knee Replacement
  • Knee Arthroscopy
  • Lateral Collateral Ligament (LCL) Repair
  • Medial Collateral Ligament (MCL) Repair
  • Meniscus Repair
  • MPFL Reconstruction of the Patella
  • OCE – Repair of the Osteochondritis
  • Partial Knee Replacement
  • Partial Knee Resurfacing
  • Partial Menisectomy
  • Posterior Cruciate Ligament (PCL) Repair
  • Revision Knee Surgery
  • Subchondroplasty
  • Total Knee Replacement ~ VERILAST
  • Total Knee Replacement ~ VISIONAIRE
  • Uni-Compartmental Joint Repair

Conservative Treatments

The Orthopedic physicians at Peninsula Bone & Joint Clinic provide conservative treatment options for Knee conditions and injuries.

Dr.Robert Detch ~ Orthopedic Surgeon

““I am dedicated to improving the lives of my patients and their families. With every orthopedic consult comes the opportunity to restore the important activities in the lives of my patients. Restoring a patient’s musculoskeletal function has such a powerful and dramatic affect on their lives. What I find especially rewarding are the most challenging cases, and especially when patients feel their lives will never be the same and through surgical care, I can give them the life that they want back to them again. As an extension of my service in the US Navy, I am additionally fortunate to have the opportunity to train Orthopaedic Residents in the Operating Room and treat injured and wounded veterans at our local Bay Area ~ VA Palo Alto and VA San Francisco Medical Centers. Remaining active in the restoring of daily activities in the lives of our wounded service members is one of the core focuses of my practice.”

Dr. Robert Detch is a board-certified, orthopedic surgeon treating Shoulder, Elbow, Knee and Hip conditions and specializing in Innovative Treatment Options for Knee & Hip Replacement patients.

Treatment Highlights

Innovative Implant Design

Smith Nephew JOURNEY II BCS knee is a second-generation knee replacement that combines the stability and natural motion of the human knee with new low-friction materials that may extend the life of the implant.

This Implant Technology is one of several innovative implant solutions  provided by Dr. Robert Detch of Peninsula Bone & Joint Clinic.

Peninsula Bone & Joint Clinic

The Orthopaedic physicians at Peninsula Bone & Joint Clinic provide comprehensive services to all members of the family.
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Disclaimer

The information found on this site is for general orthopedic purposes only. In a medical emergency please dial 911 or go to your nearest Emergency Room.