Hi.. I'm 35 very active person soon needing a knee replacement. History: torn ACL and meniscus cartlidge due to FB injury about 12 years ago.. 8 orthoscopes and 2 reconstructions later I have a left knee with chronic worsening arthitis. Anyway the pain is getting to the point of being unbearable which according to my doctor will be the time for a replacement. I would like to stay active but hear the knee replacement will effect the few sports I can currently do.. biking, swimming and rollerblading.. had to give up basketball, football and volleyball a long time ago. I will need a replacement soon. So my questions are: 1. What type of knee replacment is best for someone who wants to stay active? (understand the more active the shorter the life of the knee brace.. if there was some way to explain that relationship that would be great). 2. Where is the best place to have this done? (I would consider participating in experiemental knee replacement studies). Anyway trying to find the best knee replacement out there for active somewhat young person. Please adivse. Thanks Dave
01/19/2003 02:20 AM
20788
Posts: 3
Joined: 05/20/2005
Hi, I am 52, always been active, and having a partial knee replacement done next month. The manufactuer, Zimmer (on the net) has a newer "flex" knee which gives better bend than the older equipment. Also, Zimmer is training to do "minimally invasive" total and partial knees to avoid the huge scar. You can check their site for names of trained doctors in your area. You also need to investigate the difference in longevity between the cemented fixtures and ones designed to have bone growth into them. My surgeon said that they are seeing up to 25 yrs. in total knees now, but of course, that depends on your activity level. The more stress and pounding you put on the equipment, the faster it will loosen and deteriorate the supporting bone around it. Good luck to you - just do your homework which means MANY hours on the internet!
01/23/2003 09:58 AM
cj13929
Posts: 55
Joined: 05/19/2005
Up to 25 years now on a replacement - for real???!!! My husband decided today to go with the knee replacement. Only 54, had 3 scopes, 1 osteotomy, and now this. In between he got the venous insufficiency - still trying to find out if it will hasten his recovery....??? Worry from reading posts of infection but didn't I read 90+ % have full recovery and feel like a new person? I feel for the one writing who is in their 30's..... So wondering really which type of replacement last and works the best. Thanks for all your replies.
02/25/2003 11:15 AM
jonbonrico
Posts: 3
Joined: 05/20/2005
Smith and Nephew (who actually is the corporate underwriter for this site) has a knee called Genesis II, with a new metal called oxinium which reduces wear on the poly insert. This is mainly the reason why knees have to be revised down the road in 15 years. This new material will make the poly last longer. Once you have to go back and do surgery over again, your activity level will drop significanly. The key is to make the first surgery last as long as possible, which you will want being 35. I think you probably have total joint arthritis, which means the minimally invasive surgery is out of question. However, if your doctor says it is on only one side, go with DePuy's Uni Preservation. Both websites you can find doctors who do these surgeries.
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