Bilateral Total Knee Replacement Revision

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Procedure Description

Bilateral Total Knee Replacement Revision (BTKRR) is a complex orthopedic surgery that involves replacing or correcting both knee implants simultaneously due to wear, failure, or complications from a previous knee replacement. Over time, knee implants may deteriorate, become loose, or cause pain and limited mobility, necessitating a revision procedure to restore function and relieve discomfort. This surgery is significantly more intricate than the initial knee replacement, requiring experienced orthopedic surgeons who specialize in revision procedures.

BTKRR typically involves removing the old knee implants and replacing them with new, more durable prostheses. This process can be complicated by several factors such as bone loss, scar tissue, or infections that may have occurred around the original implants. Depending on the condition of the bone and surrounding tissue, additional techniques like bone grafting or the use of specialized implants may be required.

The primary goal of BTKRR is to restore mobility, relieve pain, and improve the quality of life for individuals suffering from debilitating knee joint conditions. By addressing both knees simultaneously, patients can avoid undergoing two separate surgeries, reducing overall recovery time and the need for multiple hospital stays. However, this approach can be physically demanding, requiring careful preoperative evaluation and planning to ensure the patient’s suitability for the procedure.

Procedure Duration

Bilateral Total Knee Replacement Revision is an extensive surgery that generally takes longer than the initial knee replacement procedure. The surgery itself can last anywhere from four to six hours, depending on the complexity of the case, the condition of the existing implants, and the surgeon’s technique. This is due to the detailed work required to remove the old implants, address any underlying issues such as infections or bone loss, and then secure the new prostheses in place.

The procedure is usually performed under general anesthesia, but spinal or epidural anesthesia combined with sedation may also be used in some cases. Once the old implants are removed, the surgeon will prepare the bone surfaces and address any complications that may have developed. In some cases, bone grafts or specialized revision implants may be needed to achieve the desired outcome.

Recovery from a bilateral revision surgery is typically more intensive than from a single knee replacement. The initial hospital stay can last five to seven days, with the first few days dedicated to pain management and physical therapy. Full recovery can take several months, often between six and twelve months, depending on the patient’s health and the complexity of the revision. Physical therapy plays a critical role in regaining strength and mobility, and patients should expect a structured rehabilitation plan that lasts several weeks to months.

Benefits

  • Simultaneous correction: Corrects issues in both knees at once, reducing the need for separate surgeries.
  • Improved mobility: Restores full range of motion in both knees, enhancing overall mobility.
  • Pain relief: Alleviates pain caused by worn-out or failed implants.
  • Fewer hospitalizations: Patients avoid the inconvenience and risks of undergoing two separate procedures.
  • Higher quality of life: Enables patients to return to daily activities with improved knee function.

Potential Destinations

  • Thailand
    Thailand is a leading destination for orthopedic surgeries, offering high-quality medical care at affordable prices. Its hospitals are equipped with state-of-the-art technology and internationally accredited standards, making it a top choice for bilateral knee replacement revision surgery. The country is also known for its post-operative care and rehabilitation programs, ensuring comprehensive treatment.
  • India
    India boasts a reputation for advanced orthopedic procedures, including revision surgeries. Many Indian hospitals have specialized orthopedic departments with experienced surgeons who are experts in total knee replacement revisions. The cost of surgery in India is also highly competitive, attracting international patients seeking affordable yet high-quality medical services.
  • Germany
    Germany is renowned for its expertise in complex orthopedic surgeries and revision procedures. The country's hospitals are known for their precision in surgical techniques, cutting-edge medical technology, and highly skilled surgeons. Patients traveling to Germany benefit from comprehensive care and rigorous safety protocols, ensuring a successful outcome.
  • Turkey
    Turkey has rapidly emerged as a hub for medical tourism, especially for orthopedic surgeries. Hospitals in Turkey offer competitive pricing for bilateral knee replacement revision surgery without compromising on quality. The country is also home to some of the most experienced orthopedic surgeons, providing excellent preoperative and postoperative care.
  • Mexico
    Mexico is another popular destination for patients seeking affordable knee revision surgeries. The proximity to the United States makes it a convenient option for North American patients, and the country's medical centers are equipped with modern facilities and experienced orthopedic teams. Medical tourists often choose Mexico for its combination of affordability and high-quality care.

Risks & Considerations

  • Infection risk: Any surgery comes with a risk of infection, particularly in revision surgeries where previous implants may have already introduced bacteria.
  • Blood clots: There is a higher risk of deep vein thrombosis (DVT) following knee replacement surgeries, especially when both knees are operated on at once.
  • Prolonged recovery: Recovery from bilateral revision surgery can take longer than anticipated, particularly if complications arise.
  • Implant failure: While rare, new implants can fail or loosen over time, necessitating further revision.
  • Nerve damage: The complexity of the surgery can sometimes lead to nerve damage around the knee, resulting in numbness or reduced mobility.

How to Choose the Right Doctor and Hospital

When selecting a surgeon and hospital for Bilateral Total Knee Replacement Revision, it is essential to prioritize experience and specialization. Look for a surgeon who is board-certified and has extensive experience performing knee revision surgeries. Surgeons who specialize in complex orthopedic procedures and revisions are more likely to provide successful outcomes due to their expertise in handling challenging cases.

In addition, choose a hospital that offers comprehensive preoperative and postoperative care. High-quality rehabilitation services are critical for ensuring a successful recovery after surgery, so opt for a facility that provides a robust physical therapy program. Additionally, the hospital should have modern technology and a dedicated orthopedic team to manage your case with precision and care.

To receive a free quote for this procedure please click on the link: https://www.medicaltourism.com/get-a-quote

Patients are advised to seek hospitals that are accredited by Global Healthcare and only work with medical tourism facilitators who are certified by Global Healthcare Accreditation or who have undergone certification from the Certified Medical Travel Professionals (CMTP). This ensures that the highest standards in the industry are met. GHA accredits the top hospitals in the world. These are the best hospitals in the world for quality and providing the best patient experience. Click the link to check out hospitals accredited by the Global Healthcare Accreditation: https://www.globalhealthcareaccreditation.com

Frequently Asked Questions

What actually happens during hyperstimulation of the ovaries?

The patient will take injectable FSH (follicle stimulating hormone) for eight to eleven days, depending on how long the follicles take to mature. This hormone is produced naturally in a woman’s body causing one egg to develop per cycle. Taking the injectable FSH causes several follicles to develop at once, at approximately the same rate. The development is monitored with vaginal ultrasounds and following the patient’s levels of estradiol and progesterone. FSH brand names include Repronex, Follistim, Menopur, Gonal-F and Bravelle. The patient injects herself daily.

What happens during egg retrieval?

When the follicles have developed enough to be harvested, the patient attends an appointment  where she is anesthetized and prepared for the procedure. Next, the doctor uses an ultrasound probe to guide a needle through the vaginal wall and into the follicle of the ovary. The thin needle draws the follicle fluid, which is then examined by an embryologist to find the eggs. The whole process takes about 20 minutes.

What happens to the eggs?

In the next step, the harvested eggs are then fertilized. If the sperm from the potential father, or in some cases, anonymous donor, has normal functionality, the eggs and sperm are placed together in a dish with a nutrient fluid, then incubated overnight to fertilize normally. If the sperm functionality is suboptimal, an embryologist uses Intracytoplasmic Sperm Injection to inject a single sperm into a single egg with an extremely precise glass needle.  Once fertilization is complete, the embryos are assessed and prepared to be transferred to the patient’s uterus.

How are the embryos transferred back to the uterus?

The doctor and the patient will discuss the number of embryos to be transferred. The number of successfully fertilized eggs usually determines the number of eggs to be placed in the uterus. Embryos are transferred to the uterus with transabdominal ultrasound guidance. This process does not require anesthesia, but it can cause minor cervical or uterine discomfort. Following transfer, the patient is advised to take at least one days bed rest and two or three additional days of rest, then 10 to 12 days later, two pregnancy tests are scheduled to confirm success. Once two positive tests are completed, an obstetrical ultrasound is ordered to show the sac, fetal pole, yolk sac and fetal heart rate.

Embryoscope©

Built into this technology there is a microscope with a powerful camera that allows the uninterrupted monitoring of the embryo during its first hours of life. In this way, we can keep a close eye on the embryo, from the moment when the oocyte is inseminated and begins to divide into smaller and smaller cells, until it can be transferred to the uterus.

Orthopedics Stem Cell

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Fertility Stem Cell

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The stem cells used for treatment of a thin endometrium include mesenchymal stem cells. In addition, successful repair of the endometrium in pregnancy with stem cells has been reported previously.

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The treatment uses PRP (Platelet-Rich-Plasma), which with stem cell therapy is the novel therapeutic approach for restoring the quality of the ovarian reserve.Your PRP will contain a physiologic balance of platelets, growth factors and white blood cells tailored specifically for you.

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