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Home/Large Joints and Extremities/101-Year-Old Woman Gets Knee Replacement Surgery
Large Joints and Extremities

101-Year-Old Woman Gets Knee Replacement Surgery

October 13, 2016 1 min read Premium comments

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101-Year-Old Woman Gets Knee Replacement Surgery
Naomi Wilde and Dr. Gregory Hicken / Courtesy of Necia Seamons and the Preston Citizen
Secondary

Naomi Wilde is 101 years old and is, unofficially, the oldest individual in the world to have received a total knee replacement. The title is unofficial because the American Academy of Orthopaedic Surgeons does not maintain a demographic data clearing house for large joint surgeries (although PearlDiver does). But Naomi’s doctor, Gregory Hicken, M.D., of the Franklin County (Idaho) Medical Center, believes she is deserving of the title.

Wilde’s troubles began when her sore knee caused her to fall, breaking her hip. Doctors replaced the broken hip but her deteriorating knee slowed the healing of the hip. “We had done all the conservative things—the injections, the physical therapy, the anti-inflammatories, ” said Hicken, “but she couldn’t recover because the knee was so bad.”

Taking in to account the fact that Wilde’s body was comparable to those of most 70 year olds, her doctors concluded that she was strong enough to withstand the surgery and that the surgery would be of benefit to her. “It was either lay here till I died, or take a chance with it, ” said Wilde, “so I had nothing to lose.”

Wilde has healed well, said Hicken, who says that Wilde is glad she went ahead with the knee replacement. She is now walking with the use of a walker and is moving to an assisted living center in Pocatello.

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Discussion

14
DS
Dr. Sarah MitchellOrthopedic Surgeon · Mayo Clinic

This is a fascinating development. In my practice we've seen similar outcomes with the revised protocol. The key differentiator seems to be patient selection criteria. Has anyone else noticed the correlation with BMI thresholds?

8
JT
James Thornton, MDSpine Fellow · HSS

Great point. I'd push back slightly on the conclusion, the sample size in the cited study is too small to draw population-level inferences. That said, the directional signal is compelling and worth a larger RCT.

5
RP
R. PatelSports Medicine · Stanford

We implemented a similar approach last year. Early results are promising but we're still gathering 12-month follow-up data. Happy to share our protocol if anyone is interested.

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