Introduction

Bilateral knee replacement—in which both knees are replaced with artificial joints—can dramatically improve mobility and quality of life for people with severe arthritis or end-stage joint disease. This blog focuses specifically on bilateral knee replacement in one sitting at Mohali, and explains the benefits, risks and price considerations for patients considering simultaneous total knee replacement (TKR) in Punjab. We aim to provide a patient-friendly, evidence-based resource that covers clinical indications, comparisons with staged procedures, expected recovery and local logistical details for patients who may choose Livasa Mohali for surgery.

Worldwide, knee osteoarthritis is a leading cause of disability among older adults. Globally, more than 250 million people are affected by symptomatic knee osteoarthritis and many progress to the point where joint replacement is the best option. India follows this trend: the burden of knee osteoarthritis is high in Punjab due to lifestyle, genetics and occupational factors. As demand increases, so does interest in efficient approaches like simultaneous total knee replacement Mohali or one-stage bilateral knee replacement Punjab. At the same time, patients often ask: Is simultaneous TKR safe Mohali? and what is the bilateral knee replacement cost in Mohali? This article covers these questions with practical details you can use when discussing options with your surgeon.

what is bilateral knee replacement?

Bilateral knee replacement refers to surgical replacement of both knee joints with prosthetic implants. There are two main approaches:

• Simultaneous (one-stage) bilateral TKR: Both knees are replaced during the same anaesthetic session in the same operating room. This is often called same sitting knee replacement or single-stage bilateral TKR Mohali.
• Staged bilateral TKR: One knee is replaced first, and after recovery the second knee is replaced in a separate operation days, weeks or months later. This is sometimes selected when health risks are a concern.

The choice between simultaneous and staged procedures depends on the patient’s overall health, severity of arthritis in each knee, anesthetic risk, and surgeon experience. Simultaneous TKR can reduce total time spent in hospital, may reduce overall cost compared to two separate admissions, and allows coordinated rehabilitation. However, it can increase the intensity of immediate post-operative care and requires careful preoperative assessment.

In Mohali and across Punjab, experienced centres like Livasa Mohali offer both options. Surgeons will review cardiac, pulmonary and clotting risk, and discuss how many days of inpatient care and physiotherapy you’ll need.

who is a candidate?

Not every patient with knee pain is a candidate for bilateral knee replacement—especially in one sitting. Ideal candidates for simultaneous bilateral TKR typically include adults with:

• Severe, symptomatic osteoarthritis in both knees causing limited mobility, pain at rest or night pain despite conservative care.
• Functional limitations affecting daily activities—difficulty walking, climbing stairs, or rising from a chair.
• Reasonable overall health with acceptable cardiac and pulmonary function.
• No uncontrolled medical conditions such as active infection, untreated severe cardiac disease or unstable diabetes.

Surgeons will evaluate you using a detailed preoperative workup that includes:

1. Comprehensive medical history and physical examination.
2. Blood tests (CBC, electrolytes, blood sugar, renal function, coagulation profile).
3. Electrocardiogram (ECG) and, if indicated, echocardiography or cardiology clearance.
4. Chest x-ray and pulmonary assessment for patients with respiratory disease.
5. Imaging of knees: weight-bearing X-rays and sometimes MRI to plan alignment and implant selection.

Factors that may favor staged surgery include advanced age with frailty, significant heart or lung disease, high body mass index with other comorbidities, or clotting disorders. During your visit to Livasa Hospitals in Mohali, joint replacement specialists will provide personalized advice after discussing risks and benefits specific to you.

benefits of simultaneous bilateral knee replacement

For patients who are appropriate candidates, simultaneous bilateral knee replacement offers several advantages over staged procedures. These benefits are often compelling for people and families balancing recovery time, cost and long-term mobility goals.

• Single hospitalization and anesthesia: Undergoing both replacements in one session means only one exposure to anesthesia, one preoperative preparation and one hospital admission.
• Shorter overall recovery period: Rehabilitation for both knees can be done concurrently, which typically reduces total time away from work or daily activities compared to two separate recoveries.
• Potential cost savings: Combined operative fees, fewer nights in hospital and consolidated physiotherapy sessions can lower overall bilateral knee replacement cost in Punjab compared with two staged procedures.
• Coordinated rehabilitation: Physiotherapists can design a single, progressive rehabilitation plan treating both knees together—helpful for balanced gait training and overall fitness.
• Emotional and logistical convenience: Only one period of surgical anxiety and one set of pre- and post-operative logistics (family support, travel, pharmacy arrangements).

Published studies show that when careful patient selection and experienced surgical teams are used, outcomes and patient satisfaction for simultaneous bilateral TKR are comparable to staged procedures. In Mohali and the Tricity area, experienced orthopaedic teams at centres like Livasa Mohali have protocols in place to manage perioperative care and reduce complications, making simultaneous procedures an attractive option for many patients.

risks and complications

As with any major surgery, bilateral knee replacement carries risks. Some risks are shared with unilateral knee replacement, and some are amplified by operating on both knees in the same session. Understanding these risks helps you make an informed decision.

• Medical complications: Cardiac events, pulmonary complications, and renal issues—particularly in patients with pre-existing disease—are important considerations. Preoperative medical optimization reduces these risks.
• Venous thromboembolism (VTE): The risk of deep vein thrombosis or pulmonary embolism increases after major lower limb surgery. Preventive measures (mechanical compression and anticoagulants) are standard.
• Blood loss and transfusion: Blood loss may be higher with bilateral procedures. Blood conservation strategies and tranexamic acid use limit transfusion requirements.
• Infection: Periprosthetic joint infection is a serious complication. Stringent sterile technique, perioperative antibiotics and meticulous wound care help reduce incidence.
• Wound healing issues and stiffness: Bilateral surgery requires careful management of pain and early mobilization to avoid stiffness and wound problems.

Questions patients commonly ask in Mohali include "is simultaneous TKR safe Mohali?" and "what are the chances of complications in Punjab hospitals?" Safety depends on patient selection, team experience and hospital infrastructure. Centres with multidisciplinary pathways—orthopaedics, anesthesia, cardiology and physiotherapy—can minimize risks. At Livasa Hospitals, Mohali, preoperative screening, dedicated orthopaedic anesthesia protocols and early mobilization policies are part of routine care for bilateral TKR patients.

staged vs simultaneous: a direct comparison

The decision between staged and simultaneous bilateral knee replacement should be based on clinical evidence, patient preferences and logistic considerations. The table below summarizes the key differences to help compare both approaches at a glance.

Both options are valid. Studies in orthopaedics show similar long-term functional outcomes for well-selected patients. Discussing your medical history and lifestyle with the orthopaedic team at Livasa Mohali can clarify which approach meets your needs in Punjab.

procedure and hospital experience at Livasa Mohali

If you choose Livasa Hospitals, Mohali for bilateral knee replacement, you will be cared for by a multidisciplinary team that includes orthopaedic surgeons, anaesthesiologists, nursing staff and physiotherapists. The typical pathway includes:

1. Preoperative optimisation: Medical clearance, blood tests, ECG, chest x-ray and any specialist consultations required (cardiology, endocrinology). Patient education sessions review expectations and rehabilitation plans.
2. Anaesthesia planning: Regional anaesthesia (spinal or combined spinal-epidural) with sedation is commonly used and may reduce blood loss and early pain. Anaesthesiologists experienced in orthopedic care manage fluid balance and pain protocols.
3. Surgical technique: Experienced surgeons use modern implants and alignment techniques. Minimally invasive approaches may be used where appropriate. Intraoperative measures include tranexamic acid to reduce bleeding and sterile protocols to prevent infection.
4. Immediate postoperative care: Pain control via multimodal analgesia, early mobilization with physiotherapists, DVT prophylaxis and wound monitoring. Many patients begin physiotherapy on the day of surgery or next day.
5. Discharge planning: Patients are typically discharged once pain is controllable with oral medications, they can transfer and walk with aids, and the surgical wounds are stable. Follow-up includes outpatient physiotherapy and wound checks.

At Livasa Mohali, orthopaedic teams follow standardized clinical pathways for bilateral TKR that emphasize safety and early function. You can call +91 80788 80788 or book online at https://www.livasahospitals.com/appointment to schedule a consultation with bilateral knee replacement surgeons in Mohali.

cost and insurance considerations in Punjab and Mohali

Cost is a major consideration for many patients when planning bilateral knee replacement. Prices vary by hospital, implant brand, length of stay, surgeon fees and pre/postoperative care. In Punjab and Mohali, the bilateral knee replacement cost and simultaneous TKR cost Punjab can be influenced by whether the surgery is performed in one sitting or staged.

Approximate ranges (indicative and may vary based on individual case and hospital package):

• One-stage bilateral TKR Punjab price: Typical packages in private hospitals may range from INR 2.5 lakh to 6 lakh for both knees combined, depending on implant selection and hospital amenities.
• Staged procedures: Two separate unilateral TKRs may incur higher combined costs due to duplicate admissions and repeated anesthesia fees.
• Approximate cost of bilateral knee replacement Mohali: At well-equipped centres like Livasa Mohali, combined packages are tailored—please contact the hospital for accurate quotes and current Livasa Hospitals bilateral knee replacement cost packages.

Insurance coverage varies: many health insurance policies in India cover knee replacement surgery, but policies differ on whether they allow combined bilateral procedures in one admission or require staged admissions. Ask your insurer about:

• Whether both knee replacement cost with insurance Mohali is covered under a single claim for simultaneous TKR.
• Policy caps, waiting periods, pre-authorization requirements and documentation for implants.
• Cashless facility arrangements—Livasa Hospitals facilitates insurance approvals and paperwork for patients in Mohali.

For tailored information about Livasa Mohali simultaneous TKR packages and to get an estimate for both knee replacement surgery Mohali, call +91 80788 80788 or book an appointment on Livasa Hospitals appointment. The hospital’s billing team can provide a breakdown of expected costs including implant choice, theatre charges, physiotherapy sessions and consultant fees.

recovery and physiotherapy after bilateral knee replacement

Rehabilitation is essential to achieve good outcomes after bilateral knee replacement. Recovery timelines vary, but most patients can expect progressive improvements over weeks to months. Early planning for physiotherapy, home support and follow-up care is particularly important when both knees are replaced in one sitting.

Typical recovery milestones:

• Day 0–3 (inpatient): Pain control, wound checks, initial physiotherapy focusing on knee bends (range of motion), straight-leg raises and safe transfers. DVT prophylaxis and early walking with aids are emphasized.
• Week 1–4: Outpatient physiotherapy 2–3 times weekly or home physiotherapist visits. Goals include independent transfers, walking with a stick or walker and improving knee flexion to permit daily activities.
• 1–3 months: Gradual weaning from walking aids as strength improves. Strengthening exercises for quadriceps, hamstrings and hip muscles become central. Most patients resume light activities and routine chores.
• 3–6 months: Many patients experience marked improvement in pain and mobility and return to more active lifestyles. Continued strengthening and low-impact aerobic conditioning (cycling, swimming) are recommended.
• 6–12 months: Final functional improvement and adaptation to prostheses. Some people achieve near-normal activities; others may have persistent limitations based on preoperative function.

Rehabilitation after bilateral replacement can be more demanding because both knees need to be mobilized while protecting incisions and managing pain. At Livasa Mohali, physiotherapy teams specialize in post-TKR rehabilitation and provide personalized plans, including home exercise programs and guidance on assistive devices. Patients receive instructions on wound care, signs of infection to watch for, and clear timelines for follow-up appointments.

outcomes and statistics

Large registry data and peer-reviewed studies show that total knee replacement reliably reduces pain and improves function in most patients. While exact numbers vary by study, some key points:

• Global outcomes: Over 90% of primary TKRs remain functioning at 10 years in many registries.
• Patient satisfaction: A substantial majority of patients report meaningful pain relief and improved quality of life after TKR.
• Simultaneous bilateral TKR: When patients are carefully selected, short-term complications may be slightly higher in some reports, but long-term functional outcomes and implant survival are similar to staged procedures.

Local data for Punjab and Mohali are less centralized, but orthopaedic departments in the region report growth in joint replacement volumes due to increasing disease burden and awareness. At centres like Livasa Mohali, audit and quality review are part of clinical governance—surgeons track outcomes, infection rates and readmissions to maintain high standards of care.

If you would like to review specific outcome measures or request surgeon-specific results at Livasa Hospitals, contact the orthopaedic department directly. Transparency about outcomes helps patients and families make informed choices about both knee surgery package options in Mohali.

how to choose a surgeon and hospital in Mohali

Choosing the right surgeon and hospital is as important as choosing the procedure. Key factors to consider include:

• Surgeon experience: Look for orthopaedic surgeons with specialized training in joint replacement and experience performing bilateral procedures. Ask about annual case volumes and outcomes.
• Multidisciplinary team: A hospital that provides integrated care—orthopaedic surgeons, anaesthetists, cardiology support, physiotherapy and nursing teams—reduces perioperative risks.
• Facilities and infection control: Modern theatres, prosthesis options and strict infection control policies improve safety and outcomes.
• Rehabilitation support: On-site physiotherapy, structured post-op pathways and outpatient support are crucial for bilateral TKR recovery.
• Insurance and billing transparency: Clear package information, assistance with insurance claims and a preoperative financial estimate are important for stress-free planning.

For patients in Mohali, Livasa Hospitals offers a comprehensive orthopaedic service with experienced bilateral knee replacement surgeons in Mohali, standardized clinical pathways and dedicated physiotherapy. To discuss specific needs or to book a consultation, call +91 80788 80788 or visit Livasa Hospitals appointment.

conclusion and next steps

Bilateral knee replacement in one sitting can be an excellent solution for the right patient: it reduces cumulative recovery time, may lower overall costs and enables coordinated rehabilitation. However, safety depends on careful patient selection, experienced surgical teams and high-quality postoperative care. If you are considering both knees replaced in one surgery Mohali or exploring same-stage bilateral knee replacement Mohali, the next steps are:

1. Schedule a consultation with a joint replacement surgeon to review your medical history and imaging.
2. Complete preoperative optimization (cardiac/pulmonary assessment, diabetes control and medication review).
3. Discuss implant choices, expected costs and insurance coverage for simultaneous procedures in Punjab.
4. Create a rehabilitation and discharge plan with your physiotherapy team and family support network.

Livasa Mohali provides specialist orthopaedic care, evidence-based clinical pathways and patient-centered rehabilitation for bilateral knee replacement. For local residents across Mohali and neighboring areas who are evaluating bilateral total knee replacement Punjab price or searching for the best hospital for bilateral knee replacement Mohali Livasa, our team is available to answer questions and arrange a consultation.

Disclaimer: This blog is intended for informational purposes and does not replace medical advice. Individual suitability for simultaneous bilateral knee replacement depends on comprehensive clinical assessment by an orthopaedic specialist and medical team.