RT info:eu-repo/semantics/article
T1 Total knee arthroplasty in octogenarians: Should we still be so restrictive?
A1 Trigueros Larrea, José María
A1 Gonzalez Bedia, Maria Antonia
A1 Lomo Garrote, José María
A1 Martin de la Cal, Oscar
A1 Martín Ferrero, Miguel Ángel
K1 Arthroplasty
K1 Artroplastia
K1 Total knee replacement
K1 Personas de edad
K1 Orthopedics
K1 Ortopedia y Traumatología
K1 3213.10 Cirugía Ortopédica
K1 3201.07 Geriatría
AB Demand for total knee arthroplasty (TKA) in octogenarians will increase in subsequent years as society ages. We conducted a retrospective observational study in octogenarians operated on with TKA between 2015 and 2019, comparing preoperative and postoperative Knee Society Score (KSS), Knee Society Function Score (KSFS), extension and flexion balance, and radiologic alignment using a paired Student t-test. A chi-squared test was used to correlate mortality with Charlson comorbidities index score and with ASA scale. Kaplan–Meier analysis was performed to calculate patient survival. In this period 36 patients ≥80 years underwent TKA, with a mean age of 81.6 years. Of these, 24 patients (66.7%) were classified as ASA II and 12 (33.3%) as ASA III. Sixteen patients (44.4%) were Charlson 0, 14 (38.9%) Charlson 1, two (5.6%) Charlson 2, and four (11.1%) Charlson 3. KSS, KSFS, flexion and extension range, and radiologic alignment were statistically significant (p < 0.001) when comparing preoperatory and post-operatory data. No correlation (p > 0.05) was found between mortality and ASA or Charlson score. Seven patients (19.4%) suffered a medical complication and two patients experienced surgical complications. Four patient died (11.1%) during follow-up. The mean patient survival was 67.4 months. Patients ≥80 years achieve clinical improvement after TKA. Comorbidities, not age, are the burden for surgery in older patients.
PB MDPI
SN 2308-3417
YR 2021
FD 2021
LK https://uvadoc.uva.es/handle/10324/59403
UL https://uvadoc.uva.es/handle/10324/59403
LA eng
NO Geriatrics, 2021, Vol. 6, Nº. 3, 67
NO Producción Científica
DS UVaDOC
RD 17-jul-2024