Mostly due to

  • people live longer than in the past and OA is a disease that becomes more common as we age
  • obesity – today, lower joint OA is thought to be related to obesity (and inflammation) and genetic factors, primarily
  • far greater availability of TKR today than in the past
  • the period from the 1980s onward saw an increase in activities that may have increased injuries – such as jogging, tennis, basketball playing and so on, by adults, who did not do those activities as commonly as we do today.

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