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A 50-year-old male asked:

My wife suffering knee joint problem, age42, advise for replacement, latest advancement?

3 doctor answers9 doctors weighed in
Dr. Allen Lu
Dr. Allen Luanswered
Orthopedic Surgery 24 years experience
Not really: Joint replacement studies take many years to perform and it is difficult to know long term outcomes. We always believe that the newest thing is better, but it is difficult to prove. For knee replacements in younger patients, there have not been any proven significant advances. There are new.
Dr. Frederick Buechel, jr. md
Orthopedic Surgery 26 years experience
Options: At a young age you need a proper diagnosis before you make a permanent change to your knee joint with a replacement. If you do have one it is even more important to have it installed as close to perfect as possible. That is the main factor for a good long term outcome. Definately look into makoplasty robotic partial knee replacement before moving ahead with total knee at her age. Send x-rays.
Dr. Roger Palutsis
Sports Medicine 36 years experience
Ouch!: 42 is very young for a tka. May be indicated though. Things to try to delay are: weight loss; glucosamine/chondrotin; viscoelastic and/or steroid injections; nsaid's. Also, partial vs total replacement? Have very experienced surgeon. Advances for uncemented, mis or custom knee blocks with long lasting polyethelene inserts. Good luck.
Dr. Tariq Niazi
Dr. Tariq Niazi commented
Orthopedic Surgery 43 years experience
I agree that at 42 she is too young for a replacement. Dr Palutsis has nicely noted the alternatives. I might suggest to get her checked for causes of knee pain other than the knee, like the spine or the hip joint, as many times there is possibility of associated lesions in those sites which need to be investigated & treated.
May 1, 2013
Dr. Tariq Niazi
Dr. Tariq Niazi commented
Orthopedic Surgery 43 years experience
I agree that at 42 she is too young for a replacement. Dr Palutsis has nicely noted the alternatives. I might suggest to get her checked for causes of knee pain other than the knee, like the spine or the hip joint, as many times there is possibility of associated lesions in those sites which need to be investigated & treated.
May 1, 2013

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Last updated Sep 28, 2016

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