A 32-year-old woman from Iran has been identified by her Indian doctors as one of the youngest persons in the world to undergo bilateral total knee replacement surgery.
Bi-Lateral Total Knee Performed on 32 Year Old
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Secondary
The patient’s knees had developed osteoarthritis secondary to ankylosing spondylitis. The report stated that while ankylosing spondylitis usually affects the spine and hip, in this case both her knees were affected and eventually she developed tri-compartmental osteoarthritis.
The surgery was performed by Dr. Rajesh Badiyani, sr. joint replacement and orthopaedic surgeon and Dr. Ramesh Kumar Tikare, anesthesiologist at Hiranandani Hospital, Vashi. For the procedure, the surgeons used gender specific knee implants, specifically made for Asian females, along with a bone conserving and tissue preserving technique which helped the patient recover faster.
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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?
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.
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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