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Outcomes of total hip arthroplasty in the octogenarian population.
MedLine Citation:
PMID:  23348229     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
BACKGROUND: The outcomes of total hip arthroplasty (THA) in the elderly population are uncertain. With the rapid expansion of this population group, this study aims to determine whether increasing age affects the outcomes of THA by utilising the largest patient cohort and follow-up period within the literature. PATIENTS AND METHODS: All patients of 80 years and over who underwent primary THA between 1994 and 2004 at the authors' institution were compared to a cohort aged under 80 with the same diagnoses and during the same time period. Mean follow-up time was 5.9 years with a select group being reviewed at year 10. RESULTS: Pain scores were comparable at year five, whilst mean Harris hip scores were significantly lower in the octogenarians. Median hospital stay was three days longer in the elderly group. Complication rates were also higher (38.1% cf 28.7%) however fewer cases of revision were noted (1.4% cf 3.8%). Patient satisfaction was comparable between groups. CONCLUSION: This study suggests pain improvement, low revision rates and high satisfaction are sufficient to justify THA in the elderly population.
Authors:
John W Kennedy; Linda Johnston; Lynda Cochrane; Petros J Boscainos
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2013-1-21
Journal Detail:
Title:  The surgeon : journal of the Royal Colleges of Surgeons of Edinburgh and Ireland     Volume:  -     ISSN:  1479-666X     ISO Abbreviation:  Surgeon     Publication Date:  2013 Jan 
Date Detail:
Created Date:  2013-1-25     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101168329     Medline TA:  Surgeon     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Copyright Information:
Copyright © 2013 Royal College of Surgeons of Edinburgh (Scottish charity number SC005317) and Royal College of Surgeons in Ireland. Published by Elsevier Ltd. All rights reserved.
Affiliation:
The Western Infirmary & University of Glasgow School of Medicine, Glasgow, UK. Electronic address: jkennedy6@nhs.net.
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