Abstract
Total knee arthroplasty (TKA) was carried out simultaneously on bilateral knees by two teams in a single procedure. The patients of the study consisted of 154 cases (308 knees) with osteoarthritis (OA) in 84 and rheumatoid arthritis (RA) in 70 patients. Comparisons were made of functional score and range of motion (ROM) before and after operation, mean total blood loss, operative time, duration of hospital stay, and operative and postoperative complications. The simultaneously performed bilateral procedures did not influence the functional score, ROM after operation, or average intra-and postoperative blood loss. No increase in the incidence of operative and postoperative complications was found. The operative time in the simultaneous TKA was significantly shorter than the time in a staged operation. Simultaneous bilateral TKA is beneficial for the patient requiring bilateral knee replacements.