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How Long Do Joint Replacements Last?

Close-up of a joint replacement surgeon using specialized orthopedic instruments and artificial joint implant components during surgery.

Cory Calendine, MD, Orthopaedic Surgeon

How long does a joint replacement last? Modern knee and hip replacements are highly durable, with current studies showing that over 90% of contemporary joint implants continue to function successfully for 15 to 20 years or more. Thanks to rapid advancements in durable implant materials (like highly cross-linked polyethylene), robotic-assisted surgical precision, and personalized pre-operative care, today’s artificial joints have a higher survival rate than ever before. By maintaining a healthy weight, participating in low-impact activities, and following a customized orthopedic care plan, many modern joint replacements are designed to last the rest of a patient’s life.

 

If you are a young, active person and you have been suffering from chronic pain due to osteoarthritis in your knees or hips for years, then you might be considering having joint replacement surgery. Joint replacements generally tend to be very successful – allowing most people to return to active lives free of chronic pain. However, while artificial joints are designed to last a long time, they won’t always last forever. This means that if the surgery is done at a younger age there may come a point where it would need to be replaced.

We do have a rough idea of how long a joint replacements will last based on data from previous operations. During the 1980s and 1990s, studies estimated that between 90% and 100% of hip or knee replacements would endure for at least 10-15 years. However, with surgical technology advances, implant survival may be a lot better. With more thorough preparation (including “prehab” exercise and weight loss), superior implant materials, improved surgical methods and anesthesia, and enhanced physical therapy after surgery, your knee or hip replacement is more likely to succeed and last the rest of your life than ever before – and that is always our goal.

New Joint Replacement Technology

Who will require joint replacement revision surgery? According to the most recent studies of various joint implants, around 90% of contemporary joint replacements are expected to function properly 10 – 15 years later – and that percentage might be somewhat higher specifically for total hip replacements. Advancing implant material technology and improved surgical techniques are credited for improving joint implant survival rates.

A good example of a more recent technology is highly cross-linked polyethylene, a type of extremely durable plastic used in many joint implants which has exceptional low-wear properties. Time will more clearly tell if implants constructed of this material will last longer than previously used materials. Joint replacement surgeons are also experimenting with new technology, including robotic-assisted techniques, that they hope can assist joint replacement surgery survive longer.

Whether you need a partial or total joint replacement, there are many different types of artificial joints, and each person’s requirements and experience will vary.

“What matters most is connecting the ideal implant with a patient’s anatomy and condition,” Dr. Cory Calendine, Joint Replacement Surgeon explains, “Not every implant or surgical technique is appropriate for every patient at all times.”

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Optimizing Hip and Knee Replacement Survival

It is important to find a surgeon that looks at your joint replacement holistically – meaning he or she assesses your individual risk factors, helps you minimize them and creates a personalized plan to put you in the best possible position for a successful and long-lasting joint replacement.

There are also certain steps you can take after you’ve had your new knee or hip to help it last, inclucing:

  • Staying active.
  • Maintain a proper weight.
  • Check in with your orthopedic surgeon on a regular basis.

“The new materials, innovative technical processes, and new medical knowledge that we are applying to today’s surgery should have an impact on their longevity. Hopefully, in 20 years, the figures we’re seeing now will be even better.”

Consult Cory Calendine, MD, Hip & Knee Replacement Specialist

Cory Calendine, MD is an Orthopaedic Surgeon at the Bone and Joint Institute of Tennessee at Williamson County Hospital in Franklin, TN. Dr. Calendine is a joint replacement surgeon specializing in Hip and Knee Surgery. From diagnosis through treatment, the Orthopaedic Surgical experts at the Bone and Joint Institute use the latest techniques and technology to improve care for people with musculoskeletal problems. For more information, please contact our office or schedule your appointment today.

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FREQUENTLY ASKED QUESTIONS

Common Questions From Readers

How many years does a knee or hip replacement last?
Current medical data indicates that approximately 90% to 95% of modern knee and hip replacements will last 15 to 20 years, with many enduring for a patient’s entire lifetime. The exact lifespan of an artificial joint depends on the patient’s age, daily activity levels, body weight, and the specific implant materials used during surgery.
While total joint replacements are incredibly successful, they can occasionally require replacement. The most common reasons for implant failure include the natural wear and tear of the implant materials over decades, loosening of the joint components from the bone, infection, or a fracture in the bone surrounding the implant.
Yes. If an original hip or knee replacement wears out, becomes loose, or fails over time, an orthopedic surgeon can perform a procedure known as joint revision surgery. During a revision, the surgeon removes the old artificial joint and replaces it with new, specialized components to alleviate pain and restore mobility.
To maximize the lifespan of your new knee or hip, it is crucial to maintain a healthy body weight, as extra weight puts additional mechanical stress on the implant. You should also stay active with joint-friendly, low-impact exercises (like swimming, walking, or cycling), avoid repetitive high-impact sports, and attend routine check-ups with your joint replacement surgeon.
Robotic-assisted joint replacement allows orthopedic surgeons to map out a patient’s unique anatomy and place the artificial joint with millimeter precision. While long-term, multi-decade data is still being gathered, orthopedic experts strongly believe that this enhanced alignment and optimal balance will reduce implant wear and ultimately lead to a longer-lasting joint replacement.
Dr. Cory Calendine, MD, board-certified orthopedic surgeon specializing in hip and knee replacement at the Bone and Joint Institute of Tennessee in Franklin, TN, shown in a gray suit with glasses and a blue tie during a professional portrait session.

BOARD-CERTIFIED · FELLOWSHIP-TRAINED

About Cory Calendine, MD

Dr. Cory Calendine is a board-certified, fellowship-trained orthopedic surgeon specializing in hip and knee replacement at the Bone and Joint Institute of Tennessee in Franklin, TN. He performs more than 700 hip and knee replacement procedures annually and serves as a consultant to Stryker for the Mako® robotic platform.

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