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Active Baby Boomers fuel demand for Long-Lasting Joint Replacements
Newswise, June 2, 2011 — “The number of
patients in their 50s coming into my office
asking for joint replacement is higher than
ever,” says Dr. Steven B. Haas, a knee
surgeon at Hospital for Special Surgery in
New York City.
At Special Surgery, where more knee
replacements and hip surgeries are performed
than at any other hospital in the nation,
doctors are looking at what happens when
their patients go back to the sports they
love.
To meet the growing need, Hospital for
Special Surgery orthopedists like Dr. Haas
have collaborated on new devices with more
wear-resistant materials so patients in
their 50s may not have to worry that a new
knee will wear out before they will.
"Joint replacement used to be about doing
the things you needed to do -- literally,
being able to walk. Now, younger patients
are coming and saying, ‘I want to continue
playing tennis, skiing, golfing, or coaching
little league and don’t want to be sidelined
by pain or disability,’” says Dr. Haas, who
is chief of the knee service at Hospital for
Special Surgery.
Earlier this year, he presented the outcomes
of his research on a newer knee design and
showed that most patients can comfortably
perform these activities.
Additionally, the FDA has recently approved
an implant referred to as the “30-year
knee,” which was based on tests simulating
30 years of use.
Across the United States, baby boomers’
passion for competing in marathons,
triathlons, basketball and tennis has worn
out knees, hips and shoulders in middle age.
As a result, this group is undergoing joint
replacement sooner to get on with their
lives. At Hospital for Special Surgery, 27
percent of knee replacements in 2009 were
for people under the age of 60.
Only a few years ago, joint replacements
were performed on individuals in their 60s
and 70s because it was thought that implants
wouldn’t last more than 15 to 20 years. As a
result, patients were encouraged to postpone
these procedures so they wouldn’t need to
have a second replacement.
A number of studies of knee and hip
replacements have shown that after 20 years,
90 percent are still functioning. Today’s
new devices may extend the implant’s life
expectancy even further.
All this was good news for Jane Byron, age
51, a nurse who underwent knee replacement
surgery in both knees in 2010. An extremely
active person, Jane is on her feet at work
and exercises at the gym seven days a week.
Six years ago she had a rollerblading
accident and tore her meniscus.
She was told at the time that she also had
arthritis and needed a knee replacement. She
went for a second opinion and was told that
she wasn’t ready for one. Instead, she had
arthroscopic surgery to repair the meniscus
and then underwent Synvisc injections.
Jane noticed that she began to walk cockeyed
and her leg became very knock-kneed and
deformed. Her knee wasn’t functioning right
and she was using all of her body strength
to keep herself mobile and upright.
Five years following her initial accident,
she sought help at Hospital for Special
Surgery where she met with Dr. Haas.
He
recommended a minimally invasive knee
replacement. Two days following surgery,
Jane walked with a cane to the gym where she
did an upper body workout. Because she had
placed so much stress on her “good” knee,
she damaged it as well and Dr. Haas advised
that it be replaced too. Jane underwent a
second knee replacement four months later.
The day following surgery, she mounted a
Lifecycle and pedaled for 45 minutes.
She’s
ridden the bike daily ever since. Two months
post-surgery, she was pressing 75 pounds on
the squat rack.
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.
16 in neurology and No. 18 in geriatrics by
U.S. News & World Report (2010-11), and has
received Magnet Recognition for Excellence
in Nursing Service from the American Nurses
Credentialing Center, and 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. A member of the NewYork-Presbyterian
Healthcare System and an affiliate of Weill
Cornell Medical College, HSS provides
orthopedic and rheumatologic patient care at
NewYork-Presbyterian Hospital at New York
Weill Cornell Medical Center.
All Hospital
for Special Surgery medical staff are on the
faculty of Weill Cornell Medical College.
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
http://www.hss.edu/.
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