The Impact of Advanced Age on the Outcomes of Primary Total Hip and Knee Arthroplasty for Osteoarthritis: A Systematic Review.

JBJS Reviews
Benjamin P d'S MurphyPeter F M Choong

Abstract

Elective total hip arthroplasty (THA) and total knee arthroplasty (TKA) are effective options for the management of osteoarthritis that has not responded to conservative therapy, and they are increasing in utilization worldwide. Therefore, we sought to investigate how older age influences the outcomes of THA and TKA through a review of the current literature. The Embase and MEDLINE databases were examined for relevant studies that assessed the role of older age in determining the outcomes of THA and TKA. All studies except for systematic reviews and case reports were considered for inclusion. Studies were excluded if they included data on procedures other than THA and TKA or if they focused on the effect of surgical techniques and rehabilitation programs rather than age. We excluded studies if they included data on total joint arthroplasty (TJA) performed for indications other than osteoarthritis unless osteoarthritis was the diagnosis for >90% of the patient cohort. Journal references were manually searched to identify any additional articles. Thirty-two articles were identified in this review. The most elderly groups in these studies were shown to experience higher mortality rates, more postoperative complications, and a long...Continue Reading

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Citations

Apr 5, 2019·Hip International : the Journal of Clinical and Experimental Research on Hip Pathology and Therapy·Daniel C AustinBenjamin J Keeney
Jul 15, 2020·Clinical Orthopaedics and Related Research·Nipun SodhiMartin W Roche
Dec 31, 2020·Journal of Clinical Medicine·Tu-Lan Vu-HanSebastian Hardt
Nov 18, 2020·Knee Surgery & Related Research·Seung Hoon LeeYong Seuk Lee
Sep 29, 2021·BMJ Open Quality·Fabian DehanneMagali Pirson
Oct 7, 2021·Health Services Research·Hyunkyu KoChristopher E Pelt
Jan 6, 2022·European Journal of Orthopaedic Surgery & Traumatology : Orthopédie Traumatologie·Santiago VildozaJulian Costantini

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