In some vertebrates, i.e. amphibians, it is very easy to generate supernumerary limbs without any genetic engineering, but just by manipulating the embryos.
Due to defects in the development of the embryo, birds or mammals and even humans are sometimes born with polymelia, i.e. with extra legs, and some of them succeed to have a relatively normal life.
https://en.wikipedia.org/wiki/Polymelia
The purpose of predictable genetic engineering would be to ensure the development of a body precisely into a form optimized for a certain purpose. Obtaining random monstrous forms is easy even today, by using various mutagen agents and/or embryo manipulations.
We are still very far from completely understanding how a single nucleated (eukaryotic) cell works. After understanding a cell we should first be able to completely understand simpler multi-cellular living beings like fungi and plants. The animals are the most complex and there is no doubt that they will be the last for which it will become possible to change some genes and then predict with certainty what kind of animal will develop from such a modified cell.
In any case, when that will happen it will be possible to design the body of an animal, within certain constraints, like we design now any complex machine. Bad designs will always remain possible, but good designs should easy avoid mechanical problems in the legs. By that time the simulation possibilities should be much better than today.
It's going to be far easier to re-enable the ability to self-repair our bodies as we do in youth than to completely change the function of two of our limbs.
Your statement is blatantly false. It says, literally, you only get knee and back problems when you're old. This is wrong, and stupid.
Why are you arguing this?