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Does age play a significant role in Joint Replacement Surgery, or Arthroplasty? The answer would be “No”. What truly matters is the quality of life people will be living irrespective of age. If your joint pain is affecting the quality of your life, you should visit a doctor for proper evaluation. So, let us now understand the basics about a joint replacement and its relation with age. Understanding the Basics When a joint is damaged, or injured due to arthritis, or any physical mishap, it can be replaced with an artificial implant and this surgical procedure is called Joint replacement. This procedure is most commonly performed for the hip or knee joints. It’s typically advised when there is chronic and debilitating pain, affecting mobility and other treatments—such as medication, physiotherapy, or lifestyle changes didn't work. Is There a “Right” Age? There’s no one-size-fits-all age when it comes to joint replacement, every joint pain case becomes unique in itself. Young patients, under 50 or even younger often delay joint replacement surgery. They worry about how long the implant will last, since their bones are still maturing and implants may wear out over time. The thought of needing another surgery later can be a major concern. And, for older patients with 70+ age worry about recovery, surgical risks, or whether they’ve “missed the window”, given the reality of increased susceptibility to infection and decreased capability to heal. Many in their 40s or 50s, with severe joint pain, avoid the symptoms and prefer home remedies. They fear that getting a replacement now might entail a second surgery later. But the fact is artificial joints tend to remain viable for 15 to 25 years, or more. People should understand that persisting pain in joint can significantly limit their regular activities. Delaying for a surgery can further degrade the chronic pain both physically and psychologically leading to muscle loss, worsening deformity, and affecting mental health equally. Today’s developments have transformed implants more durable than before, and advances in surgical technique make potential revision surgeries manageable. Is Joint Replacement is not an option for over 70s? Seniors may consider themselves too old for surgery and also think it as a financial constraints. But this can be an option for those who are physically active, mentally sharp, and otherwise healthy. For older adults, doctors look at the whole picture—not just age. They consider both physical health and how the body is aging. For example, a healthy and active 78-year-old with good heart and lung function may recover better from joint surgery than a 60-year-old with several uncontrolled health problems. Before the procedure begins, a careful preoperative assessment is essential. This assessment is done by collaborating with cardiologists, anaesthesiologists, and physiotherapists to ensure that the procedure is safe and that recovery prognosis is satisfactory When Timing Is Everything Timing matters, but symptoms, including persistent joint pain that doesn’t improve with medications, limited range of motion affecting daily tasks, difficulty walking, climbing stairs, or getting out of bed, sleep disturbances due to pain, or dependence on others for basic mobility, demand the consideration of surgical options. Early intervention often leads to better recovery and improved joint function. Delaying too long can lead to more complicated surgery, poorer outcomes, or irreversible muscle wasting. Advancements in Joint Replacement With developing technologies the Joint replacement in today's era has become highly advanced. With minimally invasive techniques, computer navigation, and custom-fit implants that improves precision and reduces recovery time. Rehabilitation protocols have become more streamlined, and many patients begin walking the same day, or the next. With proper planning and motivation, age is now, rarely a limiting factor. The “right” time for joint replacement should be determined by how much your pain is affecting your life, not by the age. Whether you’re 45 or 80, the goal is the same, you still have options to cure the joint pain. Consulting an orthopaedic specialist and getting an evaluation is essential. The right time for surgery might just be now. By Dr. Achal Saradava, Sr. Orthopedic Surgeon,HCG Hospitals, Rajkot

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