Point/Counterpoint: Same-day vs. Staged Bilateral TKA

    Dr. Gwo-Chin Lee and Dr. Mark Hartzband explain their preferences regarding the timing of a bilateral total knee arthroplasty.

    Traditionally, bilateral total knee arthroplasty (TKA) has been done as two separate procedures, performed weeks or months apart, to allow for recovery and avoid the risk of major complications. Over the past few years, however, the concept of same-day bilateral TKA  has gained momentum, with some research showing the benefits outweigh the risks.

    Still, staged bilateral TKA remains the more common procedure, with many leading orthopaedic surgeons preferring this approach for their patients.

    Recently, ICJR talked with Gwo-Chin Lee, MD, and Mark Hartzband, MD, about this issue. Below, they share their thoughts on whether patients are better served by having bilateral TKA done during the same surgery, or if the procedures should be staged.

    Click the images below to hear their comments.

    Gwo-Chin Lee, MD: Staged bilateral TKA

    Mark Hartzband, MD: Same-day bilateral TKA

    Producer: Susan Doan-Johnson; Director: Michael Bugera; Post Production: Charles Maynard