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New Jersey Woman Decides She’s “Old Enough” for Total Knee Replacement

NEW YORK—June 16, 2009

On June 17, 2009, a live webcast will show Hospital for Special Surgery orthopedic surgeon Steven Haas, M.D., chief of the Knee Service, performing a minimally invasive total knee replacement procedure on 55-year-old Mary Kiefer. Mrs. Kiefer has waited eight years for this surgery, a decision she now regrets.

“I bought into the stigma that I shouldn’t be having total knee replacement so young,” said Mrs. Kiefer. “I’ve lived in pain longer than I should have because I kept waiting to be ‘old enough.’”

Eight years ago, when Mrs. Kiefer was 47, she sat down and experienced a sharp pain in her right knee. A local orthopedist diagnosed her with a torn meniscus and performed arthroscopic surgery to remove the damaged cartilage from her knee. Without the joint’s natural cushioning, the bones of her knee were now rubbing together. Though she was still in pain, her orthopedist told her to wait as long as possible before having total knee replacement surgery.

Besides thinking she was too young for knee replacement surgery, Mrs. Kiefer also had doubts based on one of her sisters’ experience. After her sister’s total knee replacement at a local hospital, Mrs. Kiefer saw how hard the recovery was, so she tried other methods – injections and physical therapy – to ease the pain, but nothing worked.

As she learned to live with the pain, Mrs. Kiefer gradually gave up the activities she enjoyed doing, such as gardening, golf, hiking in the Catskills with her girlfriends, and even swimming because the kicking hurt. Eventually, she and her husband had to sell their colonial style house for a ranch because she couldn’t go up and down the stairs. “In that house, I would have to sit down on the stairs and go up backwards because it hurt too much to climb them,” said Mrs. Kiefer.

“I’m stiff in the morning when I wake up and am basically living on anti-inflammatories,” said Mrs. Kiefer. “I think twice before doing anything. The quality of my life has gone down so much.”

Two events convinced Mrs. Kiefer it was time for total knee replacement surgery. One was watching another sister have both of her knees replaced by Dr. Haas at Hospital for Special Surgery. In contrast to her first sister, Mrs. Kiefer saw how much easier her second sister’s recovery was. But when her knee didn’t bend one day and she fell hard enough to knock out a tooth, she said “enough.”

She hopes that people watching the webcast of her knee replacement surgery will learn from her and not wait as long as she did. “I was foolish for waiting so long. More and more people my age are having this surgery,” said Mrs. Kiefer. “I realized that my life was going by and I wasn’t in it; having this surgery will help me get my life back."

To view the webcast, scheduled for 6 p.m. ET, and learn more about total knee replacement surgery at Hospital for Special Surgery go to www.hss.edu/webcast. Also, follow the live Twitter coverage of the surgery by WCBS –TV medical reporter Max Gomez @wcbstv.


About HSS | Hospital for Special Surgery
HSS is the world’s leading academic medical center focused on musculoskeletal health. At its core is Hospital for Special Surgery, nationally ranked No. 1 in orthopedics (for the eighth consecutive year) and No. 3 in rheumatology by U.S. News & World Report (2017-2018). Founded in 1863, the Hospital has one of the lowest infection rates in the country and was the first in New York State to receive Magnet Recognition for Excellence in Nursing Service from the American Nurses Credentialing Center four consecutive times. The global standard total knee replacement was developed at HSS in 1969. An affiliate of Weill Cornell Medical College, HSS has a main campus in New York City and facilities in New Jersey, Connecticut and in the Long Island and Westchester County regions of New York State. In 2017 HSS provided care to 135,000 patients and performed more than 32,000 surgical procedures. People from all 50 U.S. states and 80 countries travelled to receive care at HSS. In addition to patient care, HSS leads the field in research, innovation and education. The HSS Research Institute comprises 20 laboratories and 300 staff members focused on leading the advancement of musculoskeletal health through prevention of degeneration, tissue repair and tissue regeneration. The HSS Global Innovation Institute was formed in 2016 to realize the potential of new drugs, therapeutics and devices. The culture of innovation is accelerating at HSS as 130 new idea submissions were made to the Global Innovation Institute in 2017 (almost 3x the submissions in 2015). The HSS Education Institute is the world’s leading provider of education on the topic on musculoskeletal health, with its online learning platform offering more than 600 courses to more than 21,000 medical professional members worldwide. Through HSS Global Ventures, the institution is collaborating with medical centers and other organizations to advance the quality and value of musculoskeletal care and to make world-class HSS care more widely accessible nationally and internationally.


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