Abstract
BackgroundThe patients aged ≥80 years have been considered to have a higher risk of mortality, postoperative complications, and longer hospital stay following total knee arthroplasty (TKA) than younger patients. The purposes of this retrospective study were to review the results of TKA in patients aged ≥80 years after a preoperative consultation.MethodsSeventy-five patients aged ≥80 years underwent TKA from January 2006 and June 2010. A control group of younger patients (65–74 years) was matched in a 1:1 ratio with the ≥80 years group for sex, diagnosis of the disease, body mass index, the American Society of Anesthesiologists' type of anesthesia, and comorbidities. Cardiologists and neurologists carefully evaluated the risk of patients for both groups before surgery. The groups were compared with regard to Knee Society Scores, Knee Society Function Score, Western Ontario and McMaster Universities Osteoarthritis Index scores, length of stay, postoperative complications, and 90-day mortality rate.ResultsThe mean follow-up was 2.3 years (range 1–5 years). We found no difference in the functional outcomes and length of stay between the two groups. The ≥80 years group had a higher rate of blood transfusion (29.3% versus 10.7%, p = 0.006) after Bonferroni correction. There were no cardiovascular or cerebrovascular complications in the ≥80 years group. There were no mortalities within 90 days in either group.ConclusionsDespite similar functional results and pain relief of the TKA compared with the young patient group, the ≥80 years group had a higher complication rate of blood transfusion. With a preoperative consultation by cardiologists and neurologists, patients aged ≥80 years have a low cardiovascular or cerebrovascular complications and 90-day mortality after TKA.
Highlights
The patients aged ≥80 years have been considered to have a higher risk of mortality, postoperative complications, and longer hospital stay following total knee arthroplasty (TKA) than younger patients
The two patient groups were similar with respect to sex, body mass index (BMI), diagnosis, American Society of Anesthesiologists (ASA), type of anesthesia (Table 1), mean preoperative Knee Society Scores (KSS), Knee Society Function Score (KSFS), WOMAC score, preoperative range of knee motion (ROM) and knee alignment (TFM) (Table 2), and comorbidities (Table 3)
At the latest follow-up, compared to the preoperative scores, both groups had improved in the KSS, KSFS, and WOMAC scores (p < 0.001)
Summary
The patients aged ≥80 years have been considered to have a higher risk of mortality, postoperative complications, and longer hospital stay following total knee arthroplasty (TKA) than younger patients. A recent study showed that despite similar pain relief and functional improvement, compared with a younger group of patients, octogenarian had a higher risk of death, postoperative complications and longer hospital stay after standard TKA [3]. The purpose of this retrospective study was to compare clinical functional outcomes, postoperative complications, length of stay, and 90-day mortality after TKA between patients aged ≥80 years and a younger patient group
Sign-in/Register to view highlights & summary Sign-in/Register to access full text options 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callDisclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
