Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Primary total knee arthroplasty in the elderly

R F Adam1, J Noble

  • 1Department of Orthopaedic Surgery, University of Manchester Medical School, Hope Hospital, Salford.

The Journal of Arthroplasty
|October 1, 1994
PubMed
Summary

Primary total knee arthroplasty in patients 75 or older shows similar functional outcomes to younger patients, despite increased perioperative risks. Mobility may be less impressive in the elderly group.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

On-scene factors that predict severe injury of patients involved in frontal crashes of passenger cars.

European journal of trauma and emergency surgery : official publication of the European Trauma Society·2016
Same author

The value of uncertainty in critical illness? An ethnographic study of patterns and conflicts in care and decision-making trajectories.

BMC anesthesiology·2016
Same author

Decreased Npas4 and Arc mRNA Levels in the Hippocampus of Aged Memory-Impaired Wild-Type But Not Memory Preserved 11β-HSD1 Deficient Mice.

Journal of neuroendocrinology·2015
Same author

Patterns of relapse in extrapulmonary small cell carcinoma: retrospective analysis of outcomes from two cancer centres.

BMJ open·2015
Same author

Overcoming Nonlinear Partial Volume Effects in Known-Component Reconstruction of Cochlear Implants.

Proceedings of SPIE--the International Society for Optical Engineering·2014
Same author

Meniscus lesions: diagnosis, differential diagnosis, and therapy.

Orthopedics·2014

Area of Science:

  • Orthopedic Surgery
  • Geriatric Medicine
  • Biomedical Engineering

Background:

  • Total knee arthroplasty (TKA) is a common procedure for end-stage knee arthritis.
  • The aging population presents unique challenges and considerations for surgical outcomes.
  • Evaluating TKA outcomes in elderly patients (≥75 years) is crucial for informed clinical decision-making.

Purpose of the Study:

  • To investigate the outcomes of primary total knee arthroplasty in patients aged 75 years and older.
  • To compare functional results and complication rates between elderly and younger TKA patients.
  • To identify specific areas where elderly patients may differ in recovery and function post-TKA.

Main Methods:

  • Retrospective study design.
  • Inclusion of patients aged 75 years or older undergoing primary TKA.
  • Comparison with a younger control group.
  • Assessment of perioperative mortality, medical and surgical morbidity, patient satisfaction, pain, stability, range of motion, and mobility metrics.

Main Results:

  • Elderly patients (≥75 years) face increased risks of perioperative mortality and medical morbidity, but not surgical morbidity.
  • Functional outcomes including patient satisfaction, pain relief, stability, range of motion, flexion contracture, and extension lag were comparable to younger controls.
  • Mobility, encompassing walking ability, use of walking aids, gait, chair rise, and stair climbing, was less favorable in the elderly group.

Conclusions:

  • Primary TKA is a viable option for patients aged 75 and older, offering comparable functional restoration to younger individuals.
  • While functional outcomes are similar, heightened awareness and management of perioperative risks are essential for this demographic.
  • Targeted rehabilitation strategies may be beneficial to improve mobility outcomes in elderly TKA patients.

Related Experiment Videos