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Updated: May 20, 2026

Surgical Approach and Complications of Stand-alone Lateral Trans-Psoas Interbody Fusion
Published on: February 14, 2025
Perioperative complications following total joint replacement.
Carl T Talmo1, Mehran Aghazadeh, James V Bono
1New England Baptist Hospital, Tufts University, Boston, MA 02120, USA.
Total joint replacement (TJR) offers significant benefits for elderly patients with severe joint issues, improving pain and quality of life. Careful management minimizes risks, making TJR a safe and effective option for this population.
Area of Science:
- Orthopedics
- Geriatric Medicine
- Surgical Outcomes
Background:
- Osteoarthritis and joint derangement significantly impact the elderly population.
- Total joint replacement (TJR) is a common surgical intervention for these conditions.
Purpose of the Study:
- To review the safety and efficacy of TJR in the elderly.
- To highlight potential complications and perioperative management strategies for elderly TJR patients.
Main Methods:
- Literature review of TJR outcomes in elderly patients.
- Analysis of perioperative management and complication avoidance.
Main Results:
- TJR demonstrates significant improvements in pain, function, and quality of life for the elderly.
- Complication rates are low, with many minor complications being avoidable.
- Elderly patients may have higher risks, but proactive management mitigates these.
Conclusions:
- TJR is a safe and highly effective treatment for elderly individuals with moderate to severe joint problems.
- Prophylactic treatment for infection and thromboembolism, alongside careful monitoring, is crucial.
- Management of postoperative delirium is important for optimal recovery and safety in elderly patients.
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