The OSTEOARTHRITIS DEPARTMENT => KNEE ARTHRITIS - Total Knee Replacement => Topic started by: Stasha83 on April 23, 2014, 04:02:27 PM

Title: TKR at 30 years old
Post by: Stasha83 on April 23, 2014, 04:02:27 PM

I posted this a few days ago in the general section but hoping to get more views in this section.

After 4 years of knee problems and surgeries I am now facing a total knee replacement at the grand age of 30.

Does anyone have any experience of TKR's at this age? My surgeon is reluctant but unfortunately all other options have been exhausted so this is our only choice.

There seems to be little information available so any comments (good or bad) would be appreciated.

Title: Re: TKR at 30 years old
Post by: SallyW on April 24, 2014, 01:02:10 AM
Wow. My surgeon was reluctant because of my age - and I'm 51.

Did your doc talk to you about restrictions after a TKR, since you want your knee to last as long as possible -? No running, do non/partial weight bearing stuff. You'll need to keep your weight down (don't know if that's an issue for you though). Older (elderly?) people don't have those restrictions, since they don't need their knees to last as long as a younger person would. Of course, we don't know how long these new implants will last - maybe yours would last a long time?

Have you gotten a second opinion? I'm not familiar with most of your treatments, but there are decent salvage operations that might help you gain a fair amount of time...
Title: Re: TKR at 30 years old
Post by: Stasha83 on April 24, 2014, 04:49:10 PM
Thanks for replying.

I have stage 4 OA and am bone on bone. I have no cartilage left and the meniscus have been pushed outside of the joint space. I also have bone damage to my tibia and fibia possibly caused by osteoncrosis.

This damage occurred in only 8 months - my MRI in Feb showed grade 1 OA and my scans in October showed this severe damage.

The initial plan was an osteotomy but the most recent scans showed the damage is throughout both the medial and lateral compartments so this is no longer an option.

I have no life at the moment, I am basically house bound and in constant extreme pain. I am not able to work or have any social life. I am aware of the limitations of a TKR but sadly have no other options. I have been advised that I would need a revision around every 10 years and this would be limited to three. Eventually I would be left with a choice between arthrodesis or amputation.

I have seen 3 OS's and they all have the same opinion so sadly a TKR is my only option.
Title: Re: TKR at 30 years old
Post by: SallyW on April 24, 2014, 10:18:50 PM
I'm sorry to hear that.   :(

On a positive note, since the current operations and hardware haven't been around that long, it seems that we really don't know how long they'll last. So maybe if you are careful, your tkr will last a long time.
Title: Re: TKR at 30 years old
Post by: sarahclark on July 13, 2014, 09:05:41 PM
I am 36 and am having my right TKR in January.  My left knee is deteriorating quickly due to Lupus and OA, which has caused osteonecrosis.  In the end, I saw my surgeon twice and after looking at my MRI on the first visit two years ago, said there was nothing he could do.  It took me 23 years to finally get the MRI on my right knee so it was way to late to do anything and given my health issues, my surgeon says any surgery to try and repair the left knee is pointless.  So frustrating.  I know surgeons hesitate to do surgery for anyone under 50 so if you can find a surgeon who is willing to, then you really need it.  I do know that Credit Valley hospital in Oakville, Ontario (if you are from Ontario) has to best recovery rates and lowest infection rates for the entire GTA.  I see Dr. Nguyen there and he is awesome.  Good luck to you!
Title: Re: TKR at 30 years old
Post by: Stasha83 on July 20, 2014, 04:20:32 PM
Thank you for sharing your story.

I'm based in the UK and luckily the OS who has cared for me for the past 4 years is willing to do the TKR. I was given the bad news last November so it has taken a while to get here but my TKR will be in August.

I'll probably do a log on here to record my experience seeing as I'll have spare time on my hands while recovering!

Wish you the best of luck with yours in January.
Title: Re: TKR at 30 years old
Post by: FMRCathelete on August 03, 2014, 01:53:32 AM
Just wanted to wish you good luck with your upcoming surgery!!!  May it last soooo much longer than 10 years. 
Title: Re: TKR at 30 years old
Post by: chris12983 on August 18, 2014, 08:13:14 AM
Hi Stasha,
   I am 32 years old and I am now 17 days post-op of a left knee TKR. Like you I had a long and painful history of knee problems. I tried every treatment available and nothing worked. Then I had a tibial plateau fracture with a bunch of other soft tissue damage. I  had no choice but to do the TKR.
   I can honestly say that as of right now, I'm glad I did it. I have more strength, more ROM, and less pain than I did just 3 weeks ago before my surgery. There is a lot of restrictions you would have to follow, but for me, I was so limited anyways that there was nothing of concern.
   I will tell you what my OS told me. There is more to consider to this surgery than simply age. While age is important, you must also look at fitness level, overall health, willingness to follow a strict protocol, and most important for me, quality of life. My quality of life was in the toilet. I was getting depressed, couldn't be the father I wanted to be to my young kids, or the husband I wished to be to my wife. These are all very important.  Another important thing to do is get multiple opinions. I talked to 6 different OS's and each one said almost the same thing. You're a candidate, your knee is shot, but try to go as long as possible. I went almost 3 years of being totally miserable, and then being unable to barely walk without wanting to cry, that I went to a certified joint specialist and said I'm miserable and I'm done. He agreed it was time and here I am.
    I know I may have problems in the future, and I am looking at probably at least 2 revisions, but I'm hoping for some medical and technological advances in the near future that will help me in my situation.
    My PT says I am her youngest ever TKR patient and being perfectly healthy other than my knee may help, but I am so far ahead of the curve right now for recovery it's unreal. I am working my butt off and hope to keep improving.
    As I said earlier, it's going to be a personal decision, and don't be surprised if you have to fight a little bit, but in my case I think I chose right. Check out my diary under the post-op diary forum. It's called Chris's TKR Journey and it will give you an idea of my situation and my recovery. Feel free to PM me as well if you have any questions. I've been where you are and there is light at the end of the tunnel.
Title: Re: TKR at 30 years old
Post by: BrocksfieldJo on August 26, 2014, 11:03:02 AM
I am 45 and had my first TKR at the end of January and am awaiting a date for my left knee now.  I would say don't worry, get it done and as long as you follow all the physio's advice and exercises you can expect to be feeling much much better in about 6 weeks.  I had nasty side effects from the painkillers which didn't help and my quad muscle wouldn't respond for about a week which upset the physio's routine quite a bit (surgeon wasn't worried).  You need to have help at home for about a month and allow yourself time to heal and spend quite a big part of your day doing routine excercises.

I have to say I borrowed and ICE CUFF (quite reasonable to buy) and this helped enormously with the swelling in hospital and at home.  Try to get hold of one.

The surgeon doing my left knee has told me that the bend before the operation is all I can expect to get back after as I have a fixed flexion and that in the USA surgeons generally don't wait so long before performing TKR because of this.  I did tell him what a battle I'd had to get the first one done!!  I have a wonderful straight knee on the right now but it's only about 105 degree flexion - I'm happy with that as it doesn't limit me in any way and theres NO PAIN WHEN WALKING yeee haaaaaa!!! :D

Be positive and push for this as I can tell your life is being severely limited and you only get one crack at life!!
Title: Re: TKR at 30 years old
Post by: Stasha83 on September 04, 2014, 01:04:42 PM
Thank you for the very helpful replies, it's good to hear some positive stories.

I am having my TKR on the 17th of September.

My quality of life is pretty bad, I don't really live, just exist so although I haven't fully come to terms with this I know it is the right decision. To be honest it is emotionally and physically exhausting and I just want it all to be over. The most difficult part is that my knee is in this state due to a negligent knee surgeon and I have an ongoing legal case which goes to trial in February 2015. All in all this is my worst nightmare.

I've already had 6 op's so i'm used to rehabbing and all the frustrations that go with it. I'm expecting a few tough weeks and then hopefully things will start to get better. I will check out your diary Chris.

After being pretty much house bound for the past 11 months I'm looking forward to getting my life back. Onwards and upwards I hope!
Title: Re: TKR at 30 years old
Post by: HerbM on October 05, 2014, 05:11:05 AM
All this reluctance to recommend replacement for people who are "too young" seems short sighted to me. 

For those that don't fail catastrophically (and those will fail pretty much no matter when they are done), my surgeon indicates the expectation is now about 25 years.

Someone younger can get a new joint, and still be young enough to get a REPLACEMENT before becoming to elderly for a safe surgery.  By that time, surgical techniques and materials will likely be much improved in any case.

My surgeon also said the replacement might be merely replacing the plastic liners, much like replacing brake linings in your care before they go metal on metal.

Why should anyone who WANTS and NEEDS new joints go through 10, 20, or even 40 years of pain waiting to be "old enough"?

Admittedly, I waited (at age 62 now, finally getting my BTKR in 2 weeks), but my wait was for the knees to get "bad enough" vs. the technology to get "good enough" and now seems the time FOR ME.  And this was MY decision, not really some arbitrary "age limit" imposed by anyone else.

If you want the replacement and need it then it should be YOUR decision about whether to wait or not.
Title: Re: TKR at 30 years old
Post by: Murph5424 on November 17, 2016, 04:37:27 AM
To the original poster who decided to have the Knee Replacement, could we chat?
Title: Re: TKR at 30 years old
Post by: Newkneeme on December 28, 2016, 06:59:27 PM
For me at 66 it seemed the decision to leave an existence of chronic knee pain (15 years) was necessary. On 12/16 I had a TKR on my right knee. I'm now looking forward to just the dealing with the many other aches and pains at one needs to endure at my age.. lol  At 30 years, having the chronic  bone on bone , pain would seem beyond depressing - no way a 30 year old should have to live IMO. 

I would see the TKR as a no-brainer then offer up this thought: At 30 years your situation calls for a proactive approach at lifestyle that will enable longevity of the the new knee.  Before all else, what will extend the life of this knee ? what do I need to do each and every day  ? That to me would be the question.  One word: Swim   Good Luck
Title: Re: TKR at 30 years old
Post by: *Tiffany on December 28, 2016, 08:31:16 PM
I had my first TKR's at 30...and have had them replaced again since then.  I am 44 and soon will need to replace them for the third time.  Definitely not ideal and the results are less than wonderful...but if you are already severely disabled maybe it is for the best.
You are welcome to contact me if you have some specific questions...

Good Luck to you