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We present the results of a prospective study on the functional outcome from total knee replacement (TKR) in young versus old patients. American Knee Society and pain scores over ten years post TKR were compared using a cohort of young patients (≤55 years) and a control group of patients ≥56, matched for ASA, body mass index and preoperative condition. A total of 24 young and 24 older knees were analysed. All scores improved significantly over time. There was no statistical differences over 10 years in pain (p = 0.436) and knee performance (0.618). Overall function was consistently higher in the younger group (p = 0.004). TKR in younger patients produces similar outcomes in terms of pain and function compared with older patients and we feel that TKR should not be withheld on account of age alone.

The Functional Outcome of Total Knee Replacement in Young Patients: A 10-Year Matched Case Control Study