Total knee arthroplasty in the octogenarian

The mortality, morbidity and cost benefits of elective total knee arthroplasty in the nonagenarian population

“…There are a reasonable -although by no means large -number of studies that have reported on the morbidity and mortality of TKA in the very elderly [1,3,9,10,12,15]. Our study has found similar results of improved pain relief, mobility and better quality of life after TKA in the very elderly.…”

“…Although the average acute hospital stay was only 11 days, we experienced a larger number of our patients requiring a longer rehabilitation period. Our records suggest that the lack of social support, which frequently accompanies ageing, seems to account for most of the postoperative rehabilitation requirements [9,15].…”

The Effect of Age on Pain, Function, and Quality of Life After Total Hip and Knee Arthroplasty

“…[5][6][7][8][9][10] The generalizability of these findings is restricted because of the descriptive or retrospective nature of the study designs used. Findings from comparative studies [11][12][13] concurred that patients aged 80 years or older who received joint arthroplasty attained pain and functional levels similar to those of younger patients (65-79 years) over a 1-to 2-year follow-up. In contrast to previous descriptive studies, the case-control studies that examined complications did not report a higher complication rate in older age groups.…”

“…In contrast to previous descriptive studies, the case-control studies that examined complications did not report a higher complication rate in older age groups. 11,12 In light of the limited evidence, much clinical controversy exists with respect to age and the risk of surgery when considering joint arthroplasties. Therefore, referring physicians, rheumatologists, and surgeons are confronted with weighing the risks and benefits of joint arthroplasties for older patients.…”

Total Knee Arthroplasty in the Elderly: Does Age Affect Pain, Function or Complications?

“…An appreciation of key outcomes such as postoperative pain and function beyond this initial period is crucial, however, and in particular how they compare with outcomes of a younger patient cohort so that we can understand any differences between these groups. In addition, reporting of complication rates is highly variable [12,16,26]. In part, this can be attributed to varying methods of complication recording among authors [21], small samples sizes [4,20], limited followup [12,16,20], and the absence of a comparator group [2,11,13].…”