Simultaneous bilateral total hip arthroplasties in nonagenarians
F R Power1, D T Cawley2, P D Curtin2
1Department of Trauma and Orthopaedic Surgery, St. Vincent's University Hospital, Dublin 4, Ireland. fiachrapower@rcsi.ie.
Irish Journal of Medical Science
|February 11, 2017
Summary
Simultaneous bilateral total hip arthroplasty (SBTHA) effectively treats hip osteoarthritis (OA) in nonagenarians. This approach offers a viable option for elderly patients with severe bilateral hip OA, improving quality of life.
Area of Science:
- Orthopedics
- Geriatric Medicine
- Surgical Innovation
Background:
- Hip osteoarthritis (OA) is a leading cause of disability.
- Increasing life expectancy drives demand for joint arthroplasty in older adults.
- Simultaneous bilateral total hip arthroplasty (SBTHA) is a treatment for bilateral hip OA.
Observation:
- The use of SBTHA in nonagenarians (patients in their 90s) is not well-documented.
- A case study involving a nonagenarian with bilateral hip OA treated with SBTHA is presented.
- Literature on SBTHA in the very elderly population was reviewed.
Findings:
- SBTHA was successfully performed in a nonagenarian patient with bilateral hip osteoarthritis.
- The case demonstrates the feasibility and potential benefits of SBTHA in extremely elderly individuals.
- Literature review highlights the limited reporting on SBTHA in this specific demographic.
Implications:
- SBTHA may be a safe and effective option for carefully selected nonagenarian patients with bilateral hip OA.
- This case expands the understanding of treatment possibilities for advanced hip OA in the super-elderly.
- Further research is warranted to establish definitive guidelines for SBTHA in the nonagenarian population.
