We reviewed our experience with total knee arthroplasties performed between 1977 and
1992 in patients who were fifty-five years old or less to determine the appropriate
management for younger patients who have severe osteoarthrosis. One hundred and
fourteen knee replacements were performed in eighty-eight patients who were an average
of fifty-one years old (range, twenty-two to fifty-five years old). All of the operations were
performed by one of the two senior ones of us (JNI or WNS) with the use of cementing …

Concern exists regarding the long-term durability and effectiveness of total knee arthroplasty
in young patients. We reviewed our experience with total knee arthroplasty in patients fifty-
five years old and younger with severe osteoarthritis to determine the long-term outcomes.
One hundred and fourteen total knee arthroplasties were performed in eighty-eight patients
at an average patient age of fifty-one years. Clinical outcomes, survival analysis, and
radiographs were all reviewed at the most recent follow-up. One hundred and eight knees …