Total knee arthroplasty in the younger patient: challenges and solutions

Abstract:

Total knee arthroplasty is being performed for an increasing number of younger patients with osteoarthritis. Several studies have demonstrated a high prevalence of residual symptoms among younger total knee arthroplasty patients and functional activity lower than expectations based on age and preoperative diagnosis. Limited studies have specifically focused on specific techniques or implant designs on this patient population, but have not identified optimal approaches. Limiting the most common complications that lead to early surgical revision, infection and instability, is important to ensure both short-term symptom resolution and long-term implant survivorship.

Keywords::

• total knee arthroplasty
• TKA
• younger patient
• outcomes
• implant selection
• surgical techniques

Disclosure

The author has received financial payment from OrthoSensor for consultant activity, research support from Stryker, and is serving as a board member for the Society of Military Orthopedic Surgeons (SOMOS).