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Old 10 November 2020, 08:31 AM   #31
Thrasher36
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I'm a 58 yr old American and was 30 pounds overweight. I changed my eating habits and started exercising more. To answer your question HIP and KNEE replacement is a big money maker and for sure AMERICANS are to FAT.
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Old 10 November 2020, 08:38 AM   #32
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Originally Posted by Cloudchaser View Post
Sort of seems like you have a pre-formed opinion here, but I'll weigh in.

I can't speak for those so fortunate as to have found low impact sports late in life, but I have my personal experience and opinion.

My generation has been the "extreme sport" generation and we're reaching our 50's. How many times have you slammed hard on pavement on your skateboard? How many times have you landed beyond the transition in a terrain park? Ever gone too big on a dirt bike and wrecked your knee? How many years did you play catcher?

Increases in replacement knees and hips in America is a combination of surgery advances, artificial joint lifespan, and the aging of the first generation of "jackasses." And based on the intensity/amplitude/standards increases across nearly all sports (extreme and otherwise), you "ain't" seen nothing yet."

I'm glad that there is an entire industry dedicated to making this surgery so viable and affordable. The quality of of life improvement has been amazing! I'd hate to have it out of my reach because it was arbitrarily deemed as too expensive to consider as a mainstream medical option! As with so many medical treatments over the years, I would guess that this American "trend" will spread around the world as its price continues to drop. Hell, a robot did at least half the work on mine.
Great post. I forgot about all the other sports we did. Many wipeouts on skateboards, bmx bikes, motor cycles, surf boards, skiing both water and snow...list goes on and on
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Old 10 November 2020, 09:05 AM   #33
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Why do so so many americans having knees and hips replaced so frequently..?
Because it works.
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Old 10 November 2020, 11:44 PM   #34
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Sort of seems like you have a pre-formed opinion here, but I'll weigh in.

I can't speak for those so fortunate as to have found low impact sports late in life, but I have my personal experience and opinion.

My generation has been the "extreme sport" generation and we're reaching our 50's. How many times have you slammed hard on pavement on your skateboard? How many times have you landed beyond the transition in a terrain park? Ever gone too big on a dirt bike and wrecked your knee? How many years did you play catcher?

Increases in replacement knees and hips in America is a combination of surgery advances, artificial joint lifespan, and the aging of the first generation of "jackasses." And based on the intensity/amplitude/standards increases across nearly all sports (extreme and otherwise), you "ain't" seen nothing yet."

I'm glad that there is an entire industry dedicated to making this surgery so viable and affordable. The quality of of life improvement has been amazing! I'd hate to have it out of my reach because it was arbitrarily deemed as too expensive to consider as a mainstream medical option! As with so many medical treatments over the years, I would guess that this American "trend" will spread around the world as its price continues to drop. Hell, a robot did at least half the work on mine.
Well said.
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Old 11 November 2020, 02:37 AM   #35
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My mom had a hip replaced back in the mid Eighties...she was 36 y/o at the time. Since then shes had the other hip and a knee replaced.

Some people are just falling apart. Genetics? Diet ?

Cannot say.

I'm almost 50 and still running on all OEM parts.
I think it is safe to say post menopausal women tend to have more issues than men with aging joints due to their lack of estrogen and perhaps low calcium levels. This has nothing to do with weight or genes and is just a fact of life.
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Old 11 November 2020, 06:43 AM   #36
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I think you try and be motivating with your posts but find them to be mostly self aggrandizing.
I think you give too much credit.
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Old 11 November 2020, 06:50 AM   #37
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My wife has had both hips replaced, there's not an ounce of fat on her, she had them done in her 50's. Because she was so young at the time, they used ceramic and titanium replaceable parts rather than one piece so if any bits wear out, they can be removed and new parts just "screwed in."
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Old 11 November 2020, 07:47 AM   #38
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Only 2% of Americans have had joint replacements to date according to NIH. Anecdotal evidence among one’s associates simply bolsters preconceived confirmation bias. Bias that borders on bigotry.

Mayo Clinic states that the Risk Factors which increase your risk of osteoarthritis (the prime cause of replacements) are older age, joint injuries, osteoporosis, occupational stress on the joint, genetics (some people are born with malformed joints or defective cartilage), metabolic diseases - oh, and yeah, obesity.

Just sayin’...



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Old 11 November 2020, 07:59 AM   #39
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I think it's actually the epidemic of people not taking responsibility for themselves.

It's basically going to a doctor and saying fix me, and the fact that the medical community is in bed with Pharma/Device Mfg and they all say OK, just do as we say.

And people go, my doctor said I should do this or that.....and the dollars roll in.

The entire medical model is to address the symptom and not the cause. And companies are making billions.

100% Right on, I was overweight and got my blood pressure and cholesterol up, Doctor gave me medicine and said exercise more and eat Mediterranean, I changed my eating habits and doubled my exercise. I lost 30 pounds in less than 6 months. I dont want to be on any medicine.
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Old 11 November 2020, 09:58 AM   #40
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Why do so so many americans having knees and hips replaced so frequently..? Surely it has to do with overweight and lethargic people I assume or can it be due to something else... I am referring to here in the good ole of USA....!
My knee isn't replaced...yet. Was never overweight or "lethargic."

Long story short, decades ago ago I tore my ACL in a bike accident. ER diagnosed it as sprain. Over the years, I continually lost stability in that knee and stupidly assumed I was re-spraining it. (Yes I have a high pain threshold.) Somewhere along the way I tore the MCL. Ended up shredding both meniscuses from having an unstable joint, and the grand finale was a bucket handle tear that prevented me from straightening my knee.

After a correct diagnosis, both torn meniscuses were removed. Had ACL recon a year later, MCL not repaired. Now I have ongoing knee pain, and arthritis in that knee. I still bike, and do other low impact activities regularly.

@BreguetRolex : Maybe in America joint replacements are not "surely" likely due to being "overweight and lethargic." Unfortunately I don't have a backup knee waiting in the wings.
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Old 30 November 2020, 06:04 AM   #41
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BIG and Quick Money for the medical industry... Cant blame it all on them as we are destroying our own bodies at a much quicker pace now a days due to the "GARBAGE" we stuff in our face...:)
It's like an annuity for the medical profession, since so many replacements need further treatment and be done over. And it isn't a 'replacement', they're amputating your joint and putting in a piece of metal, which the body tends to reject. Google 'prolotherapy', a non-surgical procedure that IMHO would prevent 90% of joint replacements if done early enough. Former Surgeon General C. Everett Koop was both a patient and practitioner of prolotherapy. 30 years ago they told me to start looking at hip replacement due to pain, instead I've done prolotherapy and am pretty good, playing pickleball three times a week, biking, etc.
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Old 5 December 2020, 08:08 PM   #42
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I slipped on ice nearly 5 years ago and partially tore the labrum in my right hip.

Avoiding surgery (rehab, etc...) in the US is more expensive long term than the surgery which may account for why people end up having so much of it in our medical system.

I rehabbed, but my hip still isn’t perfect and likely will require some kind of repair in the future.


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Old 5 December 2020, 10:04 PM   #43
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Why do so so many americans having knees and hips replaced so frequently..?
Because they're tired of life-altering limited mobility and living in pain, and now, because of procedural improvements and longer lifed equipment, they can effectively do something about it.

Seriously, isn't this like asking why so many people get Lasik surgery now compared to 30 years ago?
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Old 5 December 2020, 10:38 PM   #44
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Why do so so many americans having knees and hips replaced so frequently..?
) Excessive GVWR

) $

) Sports obsession
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Old 5 December 2020, 10:44 PM   #45
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Funny that on a forum that’s 80+% about bragging, people would grow weary or become offended only when encountering something they -can’t- buy (at least not directly).

As far as chasing health+fitness goes, the best advice is what you’d give someone who’s bothered they can’t afford a certain level of watch... “be born lucky or work harder”.


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Old 5 December 2020, 10:52 PM   #46
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) Excessive GVWR

) $

) Sports obsession

Thats the main reason for sure and what I was getting at... BINGO
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Old 5 December 2020, 10:55 PM   #47
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Most developed economies suffer from obesity issues - same here in the UK. But that's only part of the issue - I have some very fit friends who've had new knees due to playing sports such as squash and rugby.
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Old 6 December 2020, 04:12 AM   #48
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nevermind
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Old 6 December 2020, 04:21 AM   #49
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The majority of the abuse and destruction is "OWN SELF INFLICTED" from excessive weight..! yes you get a few banged up bad from sporting injuries etc , but the majority is GVWR..!
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Old 6 December 2020, 04:33 AM   #50
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“Check your BMI at this link. In one survey of joint replacement patients under age 60, some 77% were obese compared to only 26% of the general population. The chances of a knee replacement are 8 times higher for patients a BMI greater than 30 and 28 times higher for patients with a BMI over 35.“

https://www.mcleodhealth.org/blog/ob...e-replacement/
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Old 6 December 2020, 05:15 AM   #51
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Why so many "HIP & KNEE" Replacements..?

https://www.cdc.gov/nchs/products/databriefs/db186.htm


https://pubmed.ncbi.nlm.nih.gov/30988126/

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Old 6 December 2020, 05:33 AM   #52
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Only 2% of Americans have had joint replacements to date according to NIH. Anecdotal evidence among one’s associates simply bolsters preconceived confirmation bias. Bias that borders on bigotry.

Mayo Clinic states that the Risk Factors which increase your risk of osteoarthritis (the prime cause of replacements) are older age, joint injuries, osteoporosis, occupational stress on the joint, genetics (some people are born with malformed joints or defective cartilage), metabolic diseases - oh, and yeah, obesity.

Just sayin’...



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This 100% as far as pathophysiology is concerned.

Also agree with confirmational bias. But hey, it is the internet, everyone is an expert...
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Old 6 December 2020, 08:02 AM   #53
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From my basic understanding...Orthopedic surgery is a relatively new field. It only really became a thing due to the development of plastics hard enough to act as artificial joints. Ceramic and metal options developed after that.

I suspect the main reasons why the number of joint replacement surgery are increasing is because the products are more readily available, the procedure is getting more routine and there are more specialists in the field.

Not necessarily because there is an increase in the number of osteoarthritic patients.

I had a titanium hip installed 10 years ago. My joint deterioration was a result of sporting injuries some 20 years prior.

But I have talked to many artificial joint recipients over the years. Most outcomes were very positive.

I'm still reeling over the Dupont incident where medical data was fiddled with so that faulty products could be sold for profit. Medicine should be about ethical standards first and business only if ethical standards are maintained.
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Old 7 December 2020, 11:10 AM   #54
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Some are only trying to make good use of their health insurance.
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Old 7 December 2020, 01:26 PM   #55
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It depends on the age of the patient.

A good friend had his knee done a couple of years ago at age 70. He is super-fit and jogged nearly all of his adult life. He attributed it to that. Of course, if he had led a sedentary life he would have been facing other types of health issues at 70.

The Baby Boomers got into fitness, particularly those in white collar professions, unlike other generations (where they would actually do manual labor; factory workers typically didn’t jog after work).

Another Boomer friend got his shoulders replaced. He attributed it to a lifetime of heavy weight-lifting at the gym.

Both of my grandfathers were factory workers, and looking at photos of them in their 50s, they were old men. They were not jogging or working out at the gym.

If your body wears out from a life of manual labor, you’re not going to get your knees and hips redone. It’s often those who are fit and active, and hope to remain so, who get the surgery. If you take care of yourself, you can live longer, and healthier longer.

Obviously obesity is the cause of the need for some surgeries.

But, if you’re fit at 70, and are in excruciating pain every time you take a step with your bad knee, and hope to live at least another decade, given how relatively safe the surgery is now, why not?
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Old 7 December 2020, 03:12 PM   #56
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But, if you’re fit at 70, and are in excruciating pain every time you take a step with your bad knee, and hope to live at least another decade, given how relatively safe the surgery is now, why not?
Not necessarily safe. https://khn.org/news/up-to-a-third-o...in-and-regret/
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Old 7 December 2020, 03:13 PM   #57
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I'm a 58 yr old American and was 30 pounds overweight. I changed my eating habits and started exercising more. To answer your question HIP and KNEE replacement is a big money maker and for sure AMERICANS are to FAT.
Hence the trend towards larger watches.
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