Document Detail


Total knee arthroplasty in the elderly: does age affect pain, function or complications?
MedLine Citation:
PMID:  23354464     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: TKA is one of the most commonly performed procedures in the elderly, yet whether age influences postoperative pain, function, and complication rates is not fully understood for this group. This is because the current literature has limited followup, small sample sizes, and no comparator group.
QUESTIONS/PURPOSES: We therefore asked if increasing age adversely affects postoperative pain, Knee Society Scores(©), and complication rates.
METHODS: We retrospectively reviewed all 438 patients 80 years or older who underwent primary TKA between 1995 and 2005. We established a comparator group of 2754 patients younger than 80 years. We assessed pain, the Knee Society Score(©) (KSS), and the Knee Society Function Score(©) (KSFS). The number and type of complications were recorded and those graded 2 or more using the classification of Dindo et al. were analyzed. Minimum followup was 5 years (mean, 6 years; range, 5-15.5 years).
RESULTS: We found no difference in pain scores at 3, 5, and 10 years between the two groups. The KSS was comparable between groups at Year 5, but the KSFS was lower in the octogenarians. Major complications rates were higher in the octogenarian group (19% versus 15%).
CONCLUSIONS: When compared with younger patients, octogenarians can expect comparable pain relief and KSS but lower function and more complications.
Authors:
John W Kennedy; Linda Johnston; Lynda Cochrane; Petros J Boscainos
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Publication Detail:
Type:  Comparative Study; Journal Article     Date:  2013-01-25
Journal Detail:
Title:  Clinical orthopaedics and related research     Volume:  471     ISSN:  1528-1132     ISO Abbreviation:  Clin. Orthop. Relat. Res.     Publication Date:  2013 Jun 
Date Detail:
Created Date:  2013-05-02     Completed Date:  2013-06-25     Revised Date:  2013-07-19    
Medline Journal Info:
Nlm Unique ID:  0075674     Medline TA:  Clin Orthop Relat Res     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1964-9     Citation Subset:  AIM; IM    
Affiliation:
The Western Infirmary, Glasgow, G11 6NT, UK. jkennedy6@nhs.net
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MeSH Terms
Descriptor/Qualifier:
Activities of Daily Living
Age Factors
Aged
Aged, 80 and over
Arthritis, Rheumatoid / physiopathology,  surgery*
Arthroplasty, Replacement, Knee / adverse effects*
Body Mass Index
Female
Humans
Knee Joint / physiopathology,  surgery*
Male
Osteoarthritis, Knee / physiopathology,  surgery*
Pain Measurement
Pain, Postoperative / etiology*,  physiopathology
Recovery of Function
Retrospective Studies
Treatment Outcome

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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