Combined meeting of the Knee Society and American Association of Hip and Knee Surgeons. San Francisco, USA, 1997/02.
Recent studies have established the cost effectiveness and safety of total joint arthroplasties.
As the population ages, it is important to determine whether these procedures are equally beneficial in the elderly.
The short term safety and efficacy of total hip and knee arthroplasties in subjects 80 years of age and older was evaluated.
Between 1988 and 1993, preoperative and postoperative physical and functional information was collected on 99 consecutive elective hip and knee arthroplasties in subjects 80 years of age or older.
These data were compared with those derived from a younger otherwise matched control group.
Data collected included subject demographics and characteristics, information concerning the acute and postacute hospital stay, comorbid conditions, postoperative complications, discharge disposition, Hospital for Special Surgery knee and Harris hip scores, pain scores, and functional capacity.
The average age of the subjects was 83 years ; osteoarthritis was the most common diagnosis ; and the average followup was 25 months.
Complication rates and length of stay in acute care facilities were not significantly different than for the control group.
Mean preoperative Hospital for Special Surgery knee and Harris hip scores were 58 and 60, respectively, with postoperative scores of 77 and 88, respectively.
Pain dramatically improved with 98% of total knee arthroplasty and 100% of total hip arthroplasty subjects reporting mild or no pain at followup. (...)
Mots-clés Pascal : Plastie, Prothèse, Total, Hanche, Genou, Vieillard, Homme, Intérêt, Complication, Evolution, Membre inférieur, Etude comparative, Chirurgie, Système ostéoarticulaire pathologie, Arthropathie, Ostéopathie, Traumatisme, Economie santé
Mots-clés Pascal anglais : Plasty, Prosthesis, Total, Hip, Knee, Elderly, Human, Interest, Complication, Evolution, Lower limb, Comparative study, Surgery, Diseases of the osteoarticular system, Arthropathy, Bone disease, Trauma, Health economy
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 98-0053949
Code Inist : 002B25I. Création : 14/05/1998.