Total Hip Replacement in Patients Eighty Years of Age and Older

Ogino, Daisuke; Kohno, Hiroyuki; Konttinen, Liisa; Lehto, Matti; Rantanen, Pekka; Malmivaara, Antti; Konttinen, Yrjö T.; Salo, Jari

doi:10.2106/jbjs.g.00147

Cited by 71 publications

(39 citation statements)

References 12 publications

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“…8,9 Because of these risks, surgeons may be apprehensive to perform elective surgeries on an otherwise healthy octogenarian, despite several successful reports of high survivorship of THA in this older population. 10,11,6 We therefore wanted to evaluate the survivorship of proximally coated cementless tapered stems in patients who were over 80 years of age and to specifically assess the peri-and postoperative complication rates. The infrequency of these complications, coupled with low revision and dislocation rates, and radiographic evidence of stable components, suggest the safety and efficacy of this procedure in patients over 80 years of age.…”

Section: Discussionmentioning

confidence: 99%

Excellent Survivorship With the Use of Proximally Coated Tapered Cementless Stems for Total Hip Arthroplasty in Octogenarians

Stroh

Zywiel

Johnson

et al. 2011

Geriatr Orthop Surg Rehabil

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The use of total hip arthroplasty (THA) continues to grow partially because of the increasing life expectancy of the American population. Whether to use cemented or cementless femoral fixation options in older patients is often debated. The purpose of the present study was to compare the clinical and radiographic outcomes after cementless THA in patients 80 years to younger patients. Clinical and radiographic data were gathered on 33 patients (35 hips) all 80 years or older who had undergone proximally coated cementless total hip arthroplasties. Outcomes were compared with a matching group for age, body mass index, and diagnosis, who had undergone the same procedure by the same surgeon at a similar time. Harris hip scores were evaluated pre-and postoperatively, and radiographs were reviewed for evaluation of fixation and stability. At a mean follow-up of 4 years, 97% of the hips (34 of 35) remained unrevised and the mean Harris hip score had improved by 39 points to 83 points (range, 26-100 points). On radiographic evaluation, 91% were found to have full bony ingrowth, with 1 hip having osteolysis of the proximal femur. Mortality was 23% at 86 months. Except for mortality, the outcomes and complication rates were similar to the younger group except that the matching group had higher final postoperative Harris hip scores. Proximally coated tapered cementless THA is a safe and efficacious method for providing good clinical outcomes with low revision rates in patients 80 years of age or older.

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Section: Discussionmentioning

confidence: 99%

Excellent Survivorship With the Use of Proximally Coated Tapered Cementless Stems for Total Hip Arthroplasty in Octogenarians

Stroh

Zywiel

Johnson

et al. 2011

Geriatr Orthop Surg Rehabil

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“…Older patients constitute an exception because less biomechanical stress on the revision prosthesis can be expected [24]. The survival rate of cemented prostheses with a long shaft in patients with an average age of 62.3 years was rather short after initially good functional Table 1 Frequency of occurrence according to type of defect [1] results (54% after 12 years) according to Diekerhof et al [25].…”

Section: Discussionmentioning

confidence: 99%

The Modular Universal Tumour And Revision System (MUTARS®) in endoprosthetic revision surgery

Gebert

Weßling

Götze

et al. 2010

International Orthopaedics (SICOT)

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“…Both primary and revision THAs and TKAs have become more common in older and sicker patients with patients 80 years of age and older demonstrating high rates of improved function, pain relief, and patient satisfaction by standardized measures as well as prosthesis survival [1-4, 9, 19, 20, 25-27, 29, 34]. A recent study of 6989 THAs in patients 80 years of age and older from the Finnish National Registry reported an overall revision rate of 2.8% and prosthesis survivorship of 94% at 10 years [25].…”

Section: Introductionmentioning

confidence: 99%

Total Shoulder Arthroplasty in Older Patients: Increased Perioperative Morbidity?

Ricchetti

Abboud

Kuntz

et al. 2011

Clinical Orthopaedics &Amp; Related Research

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Background More elderly patients are becoming candidates for total shoulder arthroplasty with an increase in frequency of the procedure paralleling the rise in other total joint arthroplasties. Controversy still exists, however, regarding the perioperative morbidity of total joint arthroplasty in elderly patients, particularly those 80 years of age and older. Questions/purposes We asked whether perioperative complications and mortality, transfusion requirements, inpatient length of stay, and discharge disposition after total shoulder arthroplasty were similar in patients 80 years and older compared with those in younger patients. MethodsWe retrospectively compared the 90-day complications, mortality, and other perioperative variables after total shoulder arthroplasty in 40 patients (43 shoulders) aged 80 years and older (Group A; mean age, 82 years) with 46 patients (47 shoulders) younger than 70 years (Group B; mean age, 61 years). Results We found no differences in complication rates between Group A and B, including systemic (26% versus 11%) and local (5% versus 9%) complications or major (7% versus 2%) and minor (23% versus 17%) complications. There were no deaths in either group. Group A had an increased transfusion requirement (16% versus 2%) and a decreased number of direct to home discharges (67% versus 98%

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Total Hip Replacement in Patients Eighty Years of Age and Older

Cited by 71 publications

References 12 publications

Excellent Survivorship With the Use of Proximally Coated Tapered Cementless Stems for Total Hip Arthroplasty in Octogenarians

Excellent Survivorship With the Use of Proximally Coated Tapered Cementless Stems for Total Hip Arthroplasty in Octogenarians

The Modular Universal Tumour And Revision System (MUTARS®) in endoprosthetic revision surgery

Total Shoulder Arthroplasty in Older Patients: Increased Perioperative Morbidity?

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