Knee Replacement in Younger Patients

Previously reserved for older patients with severe arthritis, the number of younger, active individuals undergoing total knee replacement surgery is on the rise. 

This surgical procedure may be considered for patients in their 40s or 50s with severe knee arthritis that has not responded to less invasive, non-surgical treatments.

Over the past two decades, the use of Total Knee Replacement (TKR) in individuals under the age of 60 has increased exponentially, with a particularly notable surge in females. The highest growth in TKR utilization was observed among those aged 50–59, compared to those below 50, PubMed. Nevertheless, there are concerns about performing this procedure on patients of such a young age.

This article examines the indications for total knee replacement in younger patients, the potential outcomes, and the circumstances under which it may be recommended. Furthermore, the article addresses the potential risks associated with total knee replacement.

Can Younger Patients Get Knee Replacements?

For those wondering, "What is the youngest age for a knee replacement?", there is no age limit. The great news is that even a young patient in their 20s can take advantage of this procedure! We're going to answer some of the most common questions and concerns people have about knee replacement for young patients.

In a survey of doctors who perform knee replacements, an astonishing 100% of respondents said that there is no way of knowing the right age for a person to have a knee replacement.

People of all ages and both sexes can have this operation. However, health experts generally consider anyone under the age of 50 to be young for this surgery.

Simply put, the decision to have a knee replacement is up to you. So, if you feel that your problem is serious and that you need knee replacement surgery, then you should start to prepare for it.

The benefits of knee replacement surgery for young patients

• Pain Relief. Those experiencing knee pain, particularly if the cause is severe injury or arthritis, are keenly aware of its impact on daily life. The majority of individuals who undergo a knee replacement in their 20s have a singular objective: to eliminate the pain. This is because knee replacements are renowned for providing pain relief.

• Mobility Improvement. Severe knee joint issues have a significant negative impact on an individual's mobility, which in turn affects their ability to perform daily tasks and engage in leisure activities. One of the key reasons for choosing to have a knee replacement at the age of 45 is the increased impact of knee issues on the lives of this age group compared to younger patients. Furthermore, this procedure offers younger patients enhanced mobility.

• Joint Damage Prevention. People with arthritis decide to have a knee replacement at 30 to stop cartilage damage. The procedure addresses the underlying cause of discomfort, effectively halting the progression of degenerative knee joint disease and providing a solution for those suffering from this condition.

• Quality of life Enhancement. The quality of life for patients undergoing knee replacement surgery, whether they are at the age of 30 or 50, will be enhanced. The procedure has a significant and positive impact on the lives of patients, particularly those who are young and full of life. It will allow them to resume an active and adventurous lifestyle.  

• Normal lifestyle Restoration. People in their mid-30s and those in their 40s often have more commitments than younger or older patients. This may be one of the reasons why people choose to have knee replacements at age 40. A knee replacement can help them to resume their regular life and work as soon as possible. 

Replacement Results in Young People 

The average age of a patient undergoing knee replacement surgery in the United States is currently around 65. Surgeons generally consider anyone under the age of 50 to be too young for this type of surgery. However, patients under 50 represent the fastest-growing group of people having such surgery, the Journal of Arthroplasty. 



The results of the most recent studies demonstrate the efficacy of these surgical procedures. More than 85% of patients under the age of 50 who have undergone knee replacement surgery consider the results to be positive. Furthermore, the incidence of complications is low. Over 98% of knee replacements placed in these patients were still functioning 10 years after surgery, the Journal of Arthroplasty.

Risks of the Procedure

As with any surgical procedure, knee replacement surgery is not without risk. For younger, more active patients, the primary concern is that the implant will not last as long as expected. Further risks may include:

• Infection. It's a well-known fact that an infection can occur either after or during the surgical procedure. 
• Stiffness. It has been reported by numerous young patients who have undergone knee replacement surgery that they have experienced this particular complication. This is particularly relevant in the context of younger patients who may have more active lifestyles and therefore a greater risk of developing issues with the knee range of motion.

• Blood Clots. It is important to be aware that blood clots, or DVT (deep vein thrombosis), may occur following a knee replacement surgery due to the changes in blood flow and clotting that occur after such an operation. It is not always a cause for concern. Your doctor may suggest anticoagulant medication as a potential solution.

• Nerve Damage. Although rare, nerve damage can happen to some patients after knee replacement. Signs of this type of damage include a burning sensation. 

Our team at Turkey Luxury Clinics will discuss these risks with you before the procedure is carried out.  

Conclusion

Historically, knee replacement surgery has been more commonly performed on older individuals. There is now mounting evidence to suggest that total knee replacement could also be beneficial for people below the age of 50.

It is important to be aware that knee replacement surgery in younger people does have some risks, such as the possibility that the implant may not last as long as expected. It is generally the case that people who have undergone knee replacement surgery can resume an active lifestyle, provided that they engage in activities that are less physically demanding.

Contact Turkey Luxury Clinics today to speak with our experienced orthopaedic team. They will be happy to provide you with a consultation on your case and recommend the optimal solution.