Bilateral simultaneous total knee arthroplasty in severely deformed knees: use of an evidence-based rehabilitation programme

Post-operative rehabilitation after staged total knee arthroplastiess (TKAs) in severely deformed bilateral knee disease can be a very difficult task. At the same time, the safety of simultaneous (one stage) bilateral TKA remains controversial and highly debatable. We wish to report our experience with simultaneous bilateral conventional TKAs for all severely deformed knees, followed by a carefully planned, evidence-based rehabilitation programme. Simultaneous bilateral TKA in severely deformed knees is safe and very effective, provided attention to details of rehabilitation and overall multidisciplinary medical care is exercised.