TOTAL JOINT ARTHROPLASTY IN YOUNG PATIENTS: INDICATIONS, RISKS, AND LONG-TERM OUTCOMES

Kacper Zima; Agnieszka Kiedik; Zuzanna Pietruk; Jakub Chamier-Gliszczyński; Julia Kozłowska; Sylwia Skraińska; Przemysław Siemiątkowski; Dominik Ryszard Płaza

doi:10.31435/ijitss.1(49).2026.4794

Authors

Kacper Zima Szpital Specjalistyczny w Kościerzynie, ul. A. Piechowskiego 36, 83-400 Kościerzyna, Poland https://orcid.org/0009-0006-0679-6435
Agnieszka Kiedik Medical University of Gdansk, ul. M. Skłodowskiej-Curie 3a, 80-210 Gdańsk, Poland https://orcid.org/0009-0002-1507-8479
Zuzanna Pietruk Florian Ceynowa Specialist Hospital, 10 Dr. Alojzy Jagalski Street, 84-200 Wejherowo, Poland https://orcid.org/0009-0007-1360-3248
Jakub Chamier-Gliszczyński Neurosurgery Department, 10th Military Research Hospital and PolyClinic SPZOZ, Bydgoszcz, Poland; Scientific Circle of Neurotraumatology, Department of Emergency Medicine, Medical University of Gdańsk, Gdańsk, Poland https://orcid.org/0009-0006-8971-9864
Julia Kozłowska Szpital Specjalistyczny w Kościerzynie, ul. A. Piechowskiego 36, 83-400 Kościerzyna, Poland https://orcid.org/0009-0005-1814-4437
Sylwia Skraińska Szpital Specjalistyczny w Kościerzynie, ul. A. Piechowskiego 36, 83-400 Kościerzyna, Poland https://orcid.org/0009-0002-7644-5340
Przemysław Siemiątkowski 7th Navy Hospital in Gdansk, 117 Polanki Street, 80-305 Gdańsk, Poland https://orcid.org/0000-0003-2120-6051
Dominik Ryszard Płaza Scientific Circle of Neurotraumatology, Department of Emergency Medicine, Medical University of Gdańsk, Gdańsk, Poland https://orcid.org/0009-0000-6251-3969

DOI:

https://doi.org/10.31435/ijitss.1(49).2026.4794

Keywords:

Total Joint Arthroplasty, Young Patients, Hip Replacement, Knee Replacement, Implant Survivorship, Revision Surgery

Abstract

Total joint arthroplasty (TJA) of the hip and knee is one of the most successful reconstructive procedures in modern orthopedics, providing significant pain relief and functional improvement. Over the past decades, a steady increase in the number of arthroplasty procedures performed in younger patients, commonly defined as individuals under 60 years of age, has been observed worldwide. This demographic shift poses unique clinical challenges, as younger patients present higher functional demands, longer life expectancy, and a substantially increased risk of revision surgery compared with elderly populations. The aim of this narrative review is to summarize current evidence regarding indications for total hip and knee arthroplasty in young patients, analyze perioperative and long-term risks, and discuss implant survivorship and functional outcomes. Furthermore, emerging technologies and treatment strategies designed to prolong implant longevity and delay revision surgery are reviewed. A comprehensive understanding of these factors is essential for appropriate patient selection, surgical planning, and long-term management of young individuals undergoing joint replacement.

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