when a patient complain osteoarthritis hip and knee ipsilateral which joint we start with hip or knee ?
Assuming that both hip and knee are at the same degree of degeneration I believe that the more distal joint (hip) should be replaced first and rehabilitated and then the proximal
joint (hip).
Generally the hip is much easier to recover from and less painful, so it is best to do the hip first and then the knee later
If we assume that the stage of damage is the same for both joints, then we have to discuss the schedule with the patient and take into consideration his/her complaints. I would do first the more painful joint. On the other hand, we have to take into consideration the possibility of referred pain from the hip that intensifies the knee complaints. If this is the case, then hip first and knee later. However, some surgeons make an association with the building or repair of an old house. It is always started from the foundation or basement. So I think both variants are possible, and the surgeon (and patient !) should decide individually from case to case.
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