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Total knee arthroplasty in the younger patient: challenges and solutions

Authors Keeney J

Received 5 March 2015

Accepted for publication 18 March 2015

Published 30 April 2015 Volume 2015:7 Pages 33—38

DOI https://doi.org/10.2147/ORR.S69601

Checked for plagiarism Yes

Review by Single-blind

Peer reviewer comments 2

Editor who approved publication: Professor Clark Hung


James A Keeney

Department of Orthopaedic Surgery, University of Missouri School of Medicine, Columbia, MO, USA

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

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