Not Too Young for Knee Replacement

Advances in Joint Replacement Made Surgery the Best Choice for 34-Year-Old Wanting to Live Life to the Fullest

New York—July 31, 2012 

Barry Vargas is the picture of health, tall and athletic- looking. You’d never imagine the upbeat 34-year-old would be a candidate for knee replacement, an operation generally performed on people in their sixties and older.

Osteoarthritis rarely sidelines people in their thirties, but multiple injuries to his left knee and severe pain eventually brought Vargas to the office of Dr. Geoffrey Westrich, co-director of Joint Replacement Research at Hospital for Special Surgery.

“I had my first knee injury playing football when I was 17,” Vargas explains. “I had arthroscopic surgery to repair the torn meniscus cartilage, but within a month I tore it again.” After a while, he hurt the same knee again. Those injuries, and a total of four surgeries in a six-year period, did a number on his knee. Arthritis set in, and he was in pain most of the time.

“It got to the point where I was unable to live the life I wanted to live,” said Vargas, a successful television producer. He opted for knee replacement surgery in September 2011 to relieve his pain and resume his active lifestyle.

At age 34, Vargas is one of Westrich’s youngest total knee replacement patients. Westrich, an associate professor of orthopedic surgery and specialist in knee and hip replacement, is also seeing more people in their 40s who refuse to be sedentary and want to return to an active lifestyle.

“Clearly, times have changed regarding our treatment of patients with knee and hip arthritis,” Westrich says. “In the not-so-distant past, most younger patients with advanced arthritis were told to live with the pain or cut back on their activities, and wait until later in life to have joint replacement. Many younger patients, including Barry Vargas, are still told to wait, despite the fact that their quality of life suffers.” 

Joint replacement is still a major operation that requires extensive physical therapy, but lucky for Vargas, patients now have more options. And many are choosing to have the surgery sooner, rather than later.

Newer techniques such as minimally invasive knee and hip replacements, partial knee replacement and improved implant designs have changed the way many orthopedic surgeons look at joint replacement, according to Westrich. “The newer implants are expected to last more than 20 years, and they give patients a better range of motion, so it’s easier for them to bend their knee. Overall, the prosthesis feels more like a natural knee.”

For the pain relief alone, almost all patients will tell you a successful joint replacement restores quality of life, according to Westrich.  For patients able to get back to athletic activities, it changes their lives dramatically.

When people are affected by arthritis, their general health can suffer. “People tend to become ‘couch potatoes’ because they can’t do as much. First they give up sports, because it’s too painful to participate, then they become less active overall, and it’s a downhill spiral for many,” Westrich says. “Unfortunately, the lack of exercise and weight gain can have a significant impact on their general health and make their arthritic symptoms worse. With the proper orthopedic intervention, we are now able to relieve their pain and help them get back to a healthier lifestyle.”

Six months after knee replacement, Barry Vargas is back at the gym using the elliptical machine and weight lifting. He says he wants his knee implant to last, so he is going to stay away from high-impact sports. He’s planning to try Pilates and may go skiing. And with a new TV project in the works, he looks forward to returning to his busy professional life, pain-free.

About Hospital for Special Surgery
Founded in 1863, Hospital for Special Surgery (HSS) is a world leader in orthopedics, rheumatology and rehabilitation. HSS is nationally ranked No. 1 in orthopedics, No. 3 in rheumatology, No. 10 in neurology, and No. 5 in geriatrics by U.S.News & World Report (2012-13), and is the first hospital in New York State to receive Magnet Recognition for Excellence in Nursing Service from the American Nurses Credentialing Center three consecutive times. HSS has one of the lowest infection rates in the country. From 2007 to 2011, HSS has been a recipient of the HealthGrades Joint Replacement Excellence Award. HSS is a member of the NewYork-Presbyterian Healthcare System and an affiliate of Weill Cornell Medical College and as such all Hospital for Special Surgery medical staff are faculty of Weill Cornell. The hospital's research division is internationally recognized as a leader in the investigation of musculoskeletal and autoimmune diseases. Hospital for Special Surgery is located in New York City and online at www.hss.edu.
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