Total Hip and Knee Arthroplasty in Nonagenarians
2007; Elsevier BV; Volume: 22; Issue: 6 Linguagem: Inglês
10.1016/j.arth.2006.10.016
ISSN1532-8406
AutoresDaniel T. Alfonso, Ronald Damani Howell, Eric J. Strauss, Paul E. Di Cesare,
Tópico(s)Orthopaedic implants and arthroplasty
ResumoAmong 25 patients of mean age 91.5 years (range, 90-96 years) who received a total hip or knee arthroplasty at the authors' institution, 8% experienced surgical complications, 56% experienced at least 1 medical complication, and 80% received perioperative blood transfusions. At a mean follow-up of 4.1 years, patients were experiencing pain reduction and somewhat higher functional capacity and had slightly better survival characteristics than age-matched controls. Total hip and knee arthroplasty patients in this cohort should be told that they have a higher likelihood of experiencing perioperative medical complications and of receiving a blood transfusion than younger individuals; at the same time, they can expect pain relief as well as equal or better survival than their age-matched peers.
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