Is there an optimal age for total knee arthroplasty?: A systematic review

Knee Surgery & Related Research
Seung Hoon LeeYong Seuk Lee

Abstract

The purpose of this systematic review was to elucidate the optimal age for patients undergoing total knee arthroplasty (TKA), to optimize the balance between the benefits and risks by analyzing patient-reported outcome measurements (PROM), revision rate, and mortality according to age. A rigorous and systematic approach was used and each of the selected studies was evaluated for methodological quality. Data were extracted according to the following: study design, patients enrolled, patient age at the time of surgery, follow-up period, PROM, revision rate, and mortality. Thirty-nine articles were included in the final analysis. The results were inconsistent in the PROM analysis, but there was consensus that PROM were good in patients in their 70s . In the revision rate analysis, there was consensus that the revision rate tends to increase in TKA in younger patients, but no significant difference was observed in patients > 70 years of age. In the mortality analysis, there was consensus that the mortality was not significantly different in patients < 80 years of age, but tended to increase with age. This systematic review shows that the PROM were good when TKA was performed in patients between 70 and 80 years of age; the best PROM...Continue Reading

References

Aug 9, 2002·The Journal of Arthroplasty·Michael A MontDavid S Hungerford
Mar 27, 2004·Clinical Orthopaedics and Related Research·Mark W PagnanoRobert T Trousdale
Apr 6, 2005·The Journal of Arthroplasty·Hans J KrederStephen I Halman
May 25, 2005·Clinics in Geriatric Medicine·C Allyson JonesMaria E Suarez-Almazor
Jun 2, 2009·The Journal of Bone and Joint Surgery. British Volume·M A Ritter
Jul 28, 2009·Journal of Clinical Epidemiology·David MoherUNKNOWN PRISMA Group
Oct 6, 2009·Lancet·Kaare ChristensenJames W Vaupel
Sep 14, 2011·The Journal of Bone and Joint Surgery. British Volume·N D ClementL C Biant
Oct 5, 2011·The Journal of Bone and Joint Surgery. British Volume·C WainwrightM Melloh
Nov 18, 2011·The Journal of Arthroplasty·Hossam AbdelSalamJavad Parvizi
Jan 5, 2012·International Orthopaedics·Ljiljana Markovic-DenicMarko Bumbasirevic
Mar 9, 2012·Lancet·Andrew J CarrDavid J Beard
May 5, 2012·The Journal of Arthroplasty·Jasvinder A Singh, David G Lewallen
Jan 12, 2013·The Bone & Joint Journal·D P WilliamsR E Field
Jan 29, 2013·Clinical Orthopaedics and Related Research·John W KennedyPetros J Boscainos
Apr 25, 2013·Clinical Orthopaedics and Related Research·Molly C EasterlinDavid C Chang
Aug 21, 2013·The Journal of Arthroplasty·Robert S NambaElizabeth W Paxton
Apr 4, 2014·The Journal of Bone and Joint Surgery. American Volume·John P MeehanRichard H White
Jul 9, 2014·Clinical Orthopaedics and Related Research·John J CallaghanRichard C Johnston
Jul 11, 2014·The Journal of Arthroplasty·Nicholas B FrischCraig D Silverton
Jul 16, 2014·Journal of Orthopaedic Surgery and Research·Feng-Chih KuoJun-Wen Wang
Sep 23, 2014·International Journal of Endocrinology and Metabolism·Vishal SehgalSamuel M Lesko
Dec 5, 2014·The Journal of Bone and Joint Surgery. American Volume·Adam HartJohn Antoniou
Jul 15, 2015·The Journal of Arthroplasty·Julio J JaureguiMichael A Mont
Feb 4, 2016·The Journal of Knee Surgery·Randa D K ElmallahMichael A Mont
Mar 1, 2016·Annals of the Royal College of Surgeons of England·D SkinnerG Stafford
May 6, 2016·The Journal of Bone and Joint Surgery. American Volume·Hamid Rahmatullah Bin Abd RazakSeng-Jin Yeo
Jul 6, 2016·The Journal of Arthroplasty·Daniel D BohlCraig J Della Valle
Oct 25, 2016·The Journal of Knee Surgery·Sapan H ShahSamuel J Chmell
Dec 29, 2016·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Alejandro Lizaur-UtrillaFernando A Lopez-Prats
Feb 6, 2017·The Journal of Arthroplasty·Daniel D BohlCraig J Della Valle
May 26, 2017·Geriatric Orthopaedic Surgery & Rehabilitation·Tomas SveikataAlgirdas Venalis
May 27, 2017·Journal of Evaluation in Clinical Practice·A EscobarA Bilbao
Jul 7, 2017·Acta Anaesthesiologica Scandinavica·P B PetersenUNKNOWN Lundbeck Foundation Centre for Fast-track Hip and Knee Replacement Collaborative Group

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Aug 28, 2021·Geriatrics·Carmen da CasaJuan F Blanco

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