Q. Is it possible to have a hip and knee replacement, on the same leg, at the same time? And if so, would healing be prolonged?

Doctor Answer is medically reviewed by SecondMedic medical review team.

Answered by Seconmedic Expert

It is possible to have simultaneous hip and knee replacement surgery on the same leg. This procedure is commonly known as a “total joint replacement” or “bimodal arthroplasty”, and it can often be beneficial for very active individuals who are suffering from both hip and knee arthritis.

When considered together, these procedures can provide significant benefits when compared to having them done separately. Benefits include decreased anesthetic time, less overall trauma due to operating only once instead of twice, fewer hospital visits, less use of expensive medical resources, faster healing times with improved outcomes at long-term follow-up visits. Furthermore, this type of combined procedure facilitates quicker rehabilitative mobility which allows for improved patient comfort during the recovery period.

The potential risks associated with such a procedure must also be considered before committing to it. These include greater likelihood of abnormal bone formation (heterotopic ossification) due to increased stress on the joint; more difficult positioning; tension between implant components that may possibly lead to increased wear and tear; increased risk of nerve injury during leg elongation due to more extensive dissection; further manipulation required in preparing the joint surfaces in order for proper alignment during implantation; higher incidence of infection due to double incision sites; greater stress on tissue resulting in slightly longer rehabilitation times than performing one-stage surgery alone ; and potential failure if one part does not survive after implantation/rehabilitation has begun (inability for each part -the hip or knee -to bear weight).

In conclusion, simultaneous hip and knee replacement are feasible approaches with certain advantages but come with attendant risk factors that must be weighed against any potential benefits derived from such a procedure prior making any decisions about proceeding forward with treatment given a particular case scenario.

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