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Published on: July 22, 2021
Total knee arthroplasty in elderly osteoporotic patients
Antonio Spinarelli1, Massimo Petrera, Giovanni Vicenti
1II Orthopaedic and Traumatologic Clinic, University of Bari "Aldo Moro", Italy. antonio.spinarelli@libero.it
Aging Clinical and Experimental Research
|October 6, 2011
Summary
Choosing the right knee prosthesis is crucial, especially for elderly patients with osteoporosis. The Genesis II total knee arthroplasty demonstrated excellent pain relief and functional improvement in patients with primary knee osteoarthritis.
Area of Science:
- Orthopedic Surgery
- Biomedical Engineering
- Geriatric Medicine
Background:
- Prosthesis selection in joint replacement often relies on surgeon experience rather than literature evidence.
- Osteoporosis significantly impacts bone density and micro-architecture, increasing fracture risk and complicating implant fixation.
- Understanding bone remodeling is key for successful joint replacement in osteoporotic patients.
Purpose of the Study:
- To evaluate the outcomes of Genesis II total knee arthroplasty in elderly patients with primary knee osteoarthritis.
- To assess the efficacy of this prosthesis in improving daily living activities and quality of life.
Main Methods:
- A retrospective study of 100 consecutive Genesis II total knee arthroplasties implanted between March 1997 and July 2002.
- The study included 97 subjects, predominantly female (79), with a mean age of 77.1 years.
Main Results:
- All patients achieved complete pain relief and excellent knee scores post-surgery.
- Surgical and medical complication rates were consistent with published literature.
- The prosthesis effectively improved patients' ability to perform daily activities.
Conclusions:
- The Genesis II total knee arthroplasty is a viable option for elderly patients with primary knee osteoarthritis, even in the presence of osteoporosis.
- Patient-specific factors, implant design, and individual needs are critical considerations for successful outcomes.
- Total knee arthroplasty can significantly enhance the quality of life for elderly individuals.
