Total knee arthroplasty in the elderly. Is there an age limit?

The Journal of Arthroplasty
Daniel Hernández-VaqueroManuel Angel García-Sandoval

Abstract

The goal of this study was to compare the results of the total knee arthroplasty (TKA) in 2 study groups only differing by age. We have analyzed 218 TKA cases (138 women and 80 men) with at least 2 years follow-up. Mean age was 70 years (SD, 7.38 years; range, 43 to 98 years). An age cutoff point at 75 years defined the 2 study groups: 167 cases younger than 75 years and 51 older. Results were evaluated using the Hospital for Special Surgery Score. Mean score was raised from 53.43 (SD, 9.186) preoperatively to 85.57 (SD, 10.763) in 2 years follow-up (P < .001). The final score did not show significant differences between both groups (86.11 for the younger group and 83.8 for the older group). Differences in pain on walking, pain at rest, walk, range of motion, climbing stairs, transfer, muscle strength, or instability were not found between the patients younger and older than 75 years. We did not find any differences in TKA, functional score, or pain between the 2 studied groups.

References

Oct 1, 1994·The Journal of Arthroplasty·R F Adam, J Noble
Aug 1, 1993·The Journal of Arthroplasty·B ZicatL Nott
Aug 27, 1999·The Journal of Bone and Joint Surgery. British Volume·P D BirdsallJ L Sher
Dec 30, 1999·The Journal of Arthroplasty·C J BelmarP A Lotke
Feb 15, 2001·Archives of Internal Medicine·C A JonesM E Suarez-Almazor

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Citations

Jul 31, 2012·Clinics in Geriatric Medicine·Carl T TalmoJames V Bono
May 16, 2009·Revista española de geriatría y gerontología·Juan Antonio Moreno PalaciosAngela Mozo Muriel
Jul 15, 2015·The Journal of Arthroplasty·Julio J JaureguiMichael A Mont
Aug 12, 2010·Clinics in Geriatric Medicine·Carl T TalmoJames V Bono
Nov 13, 2018·The Bone & Joint Journal·B P d'S MurphyP F M Choong
May 11, 2013·Clinical Orthopaedics and Related Research·Kevin J BozicDaniel J Berry

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