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Doctor insights on: When Am I Too Young For A Total Knee Replacement

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When am I too young for a total knee replacement?

When am I too young for a total knee replacement?

Never too young: When all conservative options have been exhausted, and symptoms have become disabling, then it is time for knee replacement, regardless of age. Current knee replacement techniques result in 20-30 years of pain free function 95% of the time. If you are young, then you might anticipate that revision knee replacement might be necessary in your future. ...Read more

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Dr. John Michalski
415 doctors shared insights

Total Knee Replacement (Definition)

Total knee replacement: a surgical procedure in which damaged parts of the knee joint are replaced with artificial parts. They cap the end of the thigh bone , under surface of the knee cap and the top surface ...Read more


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Am i to young for a total knee replacement at 42?

Am i to young for a total knee replacement at 42?

Knee Replacement: 42 is young but not unheard of. If all other measures have been tried and your knee pain is effecting your quality of life and function to a degree that is not tolerable then knee replacement may be you last best option. ...Read more

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37 years old am i too young for a total knee replacement?

37 years old am i too young for a total knee replacement?

Not necessarily: While 37 is very young there are some circumstances where a total knee may be indicated. Before considering this however, there are a number of other options available that you should discuss with an orthopedic surgeon. These may include rehabilitation, bracing, medications or injection therapies, arthroscopic procedures, cartilage repair, osteotomies, and partial replacements. ...Read more

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Why am I too unhealthy for knee replacement, given my hypertension?

Why am I too unhealthy for knee replacement, given my hypertension?

Other problems?: If HTN is your only issue, it can be controlled and you could proceed safely, but i suspect you may have other issues? ...Read more

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I am 68 years old facing knee replacement surgery am i too old for this to be beneficial.

I am 68 years old facing knee replacement surgery am i too old for this to be beneficial.

No: Most recipients of total knee replacements are in there 60s and 70s. The 4 main considerations are whether your quality of life is affected significantly enough to warrant a knee replacement in your own opinion; secondly if you have failed attempts to get you better non- operatively; thirdly if there are any medical contra-indications; and finally if you are a candidate for one. ...Read more

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I am 68 year old i need a hip replacement am i doing it any harm walking 2 mile a day.It is very painful but I am walking for my health.

I am 68 year old i need a hip replacement am i doing it any harm walking 2 mile a day.It is very painful but I am walking for my health.

No harm: We typically encourage patients to remain as active as their hip arthritis pain will allow them to be. Although walking two miles may cause your hip to hurt, it will not do any harm. ...Read more

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What's the ideal weight for knee replacement ? I was told I am too heavy .

What's the ideal weight for knee replacement  ? I was told I am too heavy .

No ideal weight: There is no ideal weight. Increased weight will negatively affect the recovery after a total knee replacement. Every surgeon has a "comfort level" in which they feel that the likelihood for success is higher. Talk to your orthopedist and they can advise you on how much weight you should lose to be a candidate for total knee replacement. ...Read more

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I am having a tkr (total knee replacement), how long before i can ride my horse?

6-10 weeks: I restrict patients from horseback riding for 6-10 weeks, until they have regained motion and strength in the knee to adequately protect themselves. ...Read more

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I had a total knee replacement three years ago I have done two marathons and walk and swim every day. I'm having significant pain. Is this normal?

I had a total knee replacement three years ago I have done two marathons and walk and swim every day. I'm having significant pain. Is this normal?

Not normal : There are people with new knee replacements who do complete triathlons successfully. Although a person may have knee pain (even without a joint replacement) for a few days after a marathon I would not expect you to have severe pain for weeks after an event. Occasionally the hardware of the new knee replacement can loosen resulting in pain symptoms. Please follow up with your orthopedic doctor. ...Read more

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I had a knee replaced 18 months ago. Is it ok for me to do squats and deadlifts with fairly heavy weights? I'm an otherwise healthy, 59 yr. Old man.

I had a knee replaced 18 months ago. Is it ok for me to do squats and deadlifts with fairly heavy weights? I'm an otherwise healthy, 59 yr. Old man.

Not advised: At face value you have an artificail knee. The plastic spacer (polyethlyene insert) is the weak link. The more you load it the higher probability of wearing it out faster. As you get older better off maintaining tone than trying to get bulk. These excercises are likely what lead to your knee breaking down to begin wih. ...Read more

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Just had a total knee replacement. Why am i feeling no pain 8 days out? Is this normal?

Can be: I am pleased that you are doing well. I suspect that you are still taking pain medications, which is ok this soon after surgery. Continue to work on flexibility and muscle strengthening. You may develop pain later, which is also normal. Don't hesitate to take pain medications if you need them. ...Read more

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I had a total right knee replacement last year and the prosthesis is now a little loose. How commonly does this happen?

I had a total right knee replacement last year and the prosthesis is now a little loose. How commonly does this happen?

Low: Various sources have published statistics on the long-term revision rates for knee replacement. The long-term revision rate is 2 percent for five or more years. Based on a meta-analysis of worldwide joint registry databases, published in the Journal of Bone & Joint Surgery in 2011, the revision rate is 6 percent after five years and 12 percent after ten years. ...Read more

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I a 81 yrs old and have knee cartilage damage . I am a diabetic and because of this and my age, my doctor does not recommend surgery. ?

I a 81 yrs old and have knee cartilage damage .   I am a diabetic  and because of this and my age, my doctor does not recommend surgery.   ?

Conservative care: There are many conservative pathways that can be tried before surgery however, if these fail you may be a candidate for surgery of your general health allows it. ...Read more

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Should I get a hip replacement if I have osteoarthritis at 40 years old?

Should I get a hip replacement if I have osteoarthritis at 40 years old?

It depend: What can problem you have, some are not active and have low physical demands the t h r will okay for you if you are physically active it is better to delay as much as possible. ...Read more

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When am I too young for a total knee replacement?

Never too young: When all conservative options have been exhausted, and symptoms have become disabling, then it is time for knee replacement, regardless of age. Current knee replacement techniques result in 20-30 years of pain free function 95% of the time. If you are young, then you might anticipate that revision knee replacement might be necessary in your future. ...Read more

See 1 more doctor answer
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37 years old am i too young for a total knee replacement?

Not necessarily: While 37 is very young there are some circumstances where a total knee may be indicated. Before considering this however, there are a number of other options available that you should discuss with an orthopedic surgeon. These may include rehabilitation, bracing, medications or injection therapies, arthroscopic procedures, cartilage repair, osteotomies, and partial replacements. ...Read more

See 1 more doctor answer
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Am i to young for a total knee replacement at 42?

Knee Replacement: 42 is young but not unheard of. If all other measures have been tried and your knee pain is effecting your quality of life and function to a degree that is not tolerable then knee replacement may be you last best option. ...Read more

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How useful is a total knee replacement?

How useful is a total knee replacement?

VERY, if indicated: Total knee replacement (tkr) is a real success stories of modern medicine. When indicated, a tkr can be a overall health game changer. Tkr recipients usually regain levels of activity that became otherwise impossible or intolerable (walking, biking, stair climbing). Aerobic exercise in turn provides excellent support for overall cardiopulmonary health. Discuss tkr with your orthpaedic surgeon. ...Read more

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When is a total knee replacement needed?

When is a total knee replacement needed?

Total knee needed: The most concise answer is when arthritic knee pain is not relieved any longer by nsaids, therapy, cortisone injections, hylauronic acid injections, knee braces, ice, nutritional supplements or arthroscopy and x-rays show advanced arthritis and cartilage loss or spurs. When function is impaired and activity declines from pain. Or, when start subtracting things you enjoy from your life due to pain. ...Read more

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How difficult is a total knee replacement?

How difficult is a total knee replacement?

Depend : Difficulty of doing a knee replacement depends on the surgeon; anyone who does about a hundred replacements every year should have no problems doing a virgin replacement. ...Read more

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How can I exercise with a total knee replacement?

With advise: You can exercise after knee replacement, and it is a good idea. The best exercise is that which avoids stress across the knee. Although you want to strengthen the muscles around the knee, you do not want to place undue stresses across the replaced knee. Your orthopedist and your physical therapist can best advise you. ...Read more

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When should someone get a total knee replacement?

When should someone get a total knee replacement?

See details: When there is advanced arthritis, major pain and conservative therapies have failed. ...Read more

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How do I exercise after a total knee replacement?

How do I exercise after  a total knee replacement?

Exercise with total : The only major restriction on exercise for total knees is to avoid jogging or running as your aerobic exercise. Jumping and landing exercise are also not great because like jogging, you can cause loosening of the implant from the bone or cement fixation. This also can speed the wear down of the plastic bearings. Bicycles, tai chi, walking, swimming, dancing, golf, tennis, ellipticals are all good. ...Read more

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Why does my butt hurt after a total knee replacement?

Why does my butt hurt after a total knee replacement?

Butt attached to leg: You have likely been compensating for your knee prior to your surgery. This can throw your pelvis off but you don't notice it because it works. Now that your knee is fixed, you're likely walking more normally so you notice that your pelvis is off and your butt hurts. A good do can apply some omm to re-right your pelvis and help alleviate some of the pain. ...Read more

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How long does it take a total knee replacement to heal?

How long does it take a total knee replacement to heal?

TKA healing: You can typically put full weght on it immediately postop. The rehab however continues for several months, and continuing with home exercise program to re-train the sort tissues and muscles. Tisuue is made of collagen which takes 6 weeks to heal, then 6 weeks or so to recalibrate to the realignment. ...Read more

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What do I do about pain after a total knee replacement?

TKA pain: Usually less with spinal and femoral nerve blocks, ice, joint injection of pain cocktail intraop, postop narcotics. ...Read more

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What is the procedure like for a total knee replacement?

What is the procedure like for a total knee replacement?

Knee replacement: Although we call it a "total" knee replacement, this surgery is actually a "resurfacing" of the end of the femur, the top of the tibia and the undersurface of the patella (knee cap) with metal and plastic components. Although the acl and PCL ligaments are "replaced" in a total knee with a plastic post, the muscles (quads & collateral ligaments (mcl and lcl) are preserved intact with this procedure. ...Read more

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How bad is the pain from a total knee replacement usually?

How bad is the pain from a total knee replacement usually?

Very: Let's be very honest, although there have been significant advances in how we manage the pain of a knee replacement postoperatively, the first few days to weeks involve a significant amount of pain. Utilizing pain catheters, injections around the knee during surgery, epidural catheters, and various medication combinations the pain is usually well controlled. ...Read more

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What can be expected after having a total knee replacement?

What can be expected after having a total knee replacement?

Pain...and work!: Assuming the knee was placed correctly, now it is up to you and the other health care providers to assure the best chance of you being satisfied with the results. You and your md are a team... As is your pt. You need to religiously perform your stretching exercises, attend your pt sessions and let your doc know of any issues quickly since the first few months are critical. ...Read more

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What can be expected after a total knee replacement for pt?

What can be expected after a total knee replacement for pt?

Physical therapy: Physical therapy is an integral part of the total knee replacement process. Many orthopaedic surgeons will start pt prior to surgery ("pre-hab"). Therapy is usually started immediately after surgery in the hospital. Upon discharge from the hospital, pt is usually done 3x/week for 4-12 weeks, depending on the rate of the patient's recovery. ...Read more

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Can you tell me about a revision of a total knee replacement?

Can you tell me about a revision of a total knee replacement?

More risk: It really depends on why the revision is done, but in general revision surgery does carry a higher risk of infection, pain, and complication than does primary knee replacement. But the data shows an improvement in pain after the surgery. It may involve removing and replacing some or all of the components. ...Read more

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What is the youngest age you can have a total knee replacement?

What is the youngest age you can have a total knee replacement?

HTO, UKR, TKR option: The younger the patient, the more we like to try and find an alternate procedure to a TKR (total knee replacement). High tibial osteotomy(, HTO), and even more so- Unicompartmental knee replacement (UKR) options are being utilized to improve function in the younger adults. When all else fails or becomes non-feasible, a TKR can be a option even in the mid 30's. Discuss ALL options with your surgeon ...Read more

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How common is it for someone to need a total knee replacement?

How common is it for someone to need  a total knee replacement?

Quite common: Knee replacements are quite common, usually in the setting of advanced osteoarthritis of the knee. ...Read more

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Dr. Frederick Buechel, jr. md
453 doctors shared insights

Knee Replacement (Definition)

It is when a surgeon removes and exchanges some are all of the componets of your knee. The bottom end of the thigh bone(femur), the upper end of the shin bone(tibia) and the undersurface ...Read more