Total Knee Arthroplasty in Octogenarians: Should We Still Be so Restrictive?
Demand for total knee arthroplasty (TKA) in octogenarians will increase in subsequent years as society ages. We conducted a retrospective observational study in octogenarians operated on with TKA between 2015 and 2019, comparing preoperative and postoperative Knee Society Score (KSS), Knee Society F...
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| Format: | Article |
| Language: | English |
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MDPI AG
2021-06-01
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| Series: | Geriatrics |
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| Online Access: | https://www.mdpi.com/2308-3417/6/3/67 |
| _version_ | 1827688454664749056 |
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| author | Jose Maria Trigueros-Larrea Maria Antonia Gonzalez-Bedia Jose Maria Lomo-Garrote Oscar Martin-de la Cal Miguel Angel Martin-Ferrero |
| author_facet | Jose Maria Trigueros-Larrea Maria Antonia Gonzalez-Bedia Jose Maria Lomo-Garrote Oscar Martin-de la Cal Miguel Angel Martin-Ferrero |
| author_sort | Jose Maria Trigueros-Larrea |
| collection | DOAJ |
| description | Demand for total knee arthroplasty (TKA) in octogenarians will increase in subsequent years as society ages. We conducted a retrospective observational study in octogenarians operated on with TKA between 2015 and 2019, comparing preoperative and postoperative Knee Society Score (KSS), Knee Society Function Score (KSFS), extension and flexion balance, and radiologic alignment using a paired Student t-test. A chi-squared test was used to correlate mortality with Charlson comorbidities index score and with ASA scale. Kaplan–Meier analysis was performed to calculate patient survival. In this period 36 patients ≥80 years underwent TKA, with a mean age of 81.6 years. Of these, 24 patients (66.7%) were classified as ASA II and 12 (33.3%) as ASA III. Sixteen patients (44.4%) were Charlson 0, 14 (38.9%) Charlson 1, two (5.6%) Charlson 2, and four (11.1%) Charlson 3. KSS, KSFS, flexion and extension range, and radiologic alignment were statistically significant (<i>p</i> < 0.001) when comparing preoperatory and post-operatory data. No correlation (<i>p</i> > 0.05) was found between mortality and ASA or Charlson score. Seven patients (19.4%) suffered a medical complication and two patients experienced surgical complications. Four patient died (11.1%) during follow-up. The mean patient survival was 67.4 months. Patients ≥80 years achieve clinical improvement after TKA. Comorbidities, not age, are the burden for surgery in older patients. |
| first_indexed | 2024-03-10T09:56:00Z |
| format | Article |
| id | doaj.art-ac98e240e3c54ed7b6676dc9b14e1b2f |
| institution | Directory Open Access Journal |
| issn | 2308-3417 |
| language | English |
| last_indexed | 2024-03-10T09:56:00Z |
| publishDate | 2021-06-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Geriatrics |
| spelling | doaj.art-ac98e240e3c54ed7b6676dc9b14e1b2f2023-11-22T02:22:27ZengMDPI AGGeriatrics2308-34172021-06-01636710.3390/geriatrics6030067Total Knee Arthroplasty in Octogenarians: Should We Still Be so Restrictive?Jose Maria Trigueros-Larrea0Maria Antonia Gonzalez-Bedia1Jose Maria Lomo-Garrote2Oscar Martin-de la Cal3Miguel Angel Martin-Ferrero4Orthopaedic Surgery and Traumatology Department, Hospital Clinico Universitario Valladolid, 47005 Valladolid, SpainOrthopaedic Surgery and Traumatology Department, Hospital Clinico Universitario Valladolid, 47005 Valladolid, SpainCentro ORIGEN, Diagnostico y Traumatologia, Department of Traumatology, 47006 Valladolid, SpainScholar FUNGE Reseach Unit, University of Valladolid, 47002 Valladolid, SpainOrthopaedic Surgery and Traumatology Department, Hospital Clinico Universitario Valladolid, 47005 Valladolid, SpainDemand for total knee arthroplasty (TKA) in octogenarians will increase in subsequent years as society ages. We conducted a retrospective observational study in octogenarians operated on with TKA between 2015 and 2019, comparing preoperative and postoperative Knee Society Score (KSS), Knee Society Function Score (KSFS), extension and flexion balance, and radiologic alignment using a paired Student t-test. A chi-squared test was used to correlate mortality with Charlson comorbidities index score and with ASA scale. Kaplan–Meier analysis was performed to calculate patient survival. In this period 36 patients ≥80 years underwent TKA, with a mean age of 81.6 years. Of these, 24 patients (66.7%) were classified as ASA II and 12 (33.3%) as ASA III. Sixteen patients (44.4%) were Charlson 0, 14 (38.9%) Charlson 1, two (5.6%) Charlson 2, and four (11.1%) Charlson 3. KSS, KSFS, flexion and extension range, and radiologic alignment were statistically significant (<i>p</i> < 0.001) when comparing preoperatory and post-operatory data. No correlation (<i>p</i> > 0.05) was found between mortality and ASA or Charlson score. Seven patients (19.4%) suffered a medical complication and two patients experienced surgical complications. Four patient died (11.1%) during follow-up. The mean patient survival was 67.4 months. Patients ≥80 years achieve clinical improvement after TKA. Comorbidities, not age, are the burden for surgery in older patients.https://www.mdpi.com/2308-3417/6/3/67older persontotal knee arthroplastyoutcomescomorbiditiesoctogenarians |
| spellingShingle | Jose Maria Trigueros-Larrea Maria Antonia Gonzalez-Bedia Jose Maria Lomo-Garrote Oscar Martin-de la Cal Miguel Angel Martin-Ferrero Total Knee Arthroplasty in Octogenarians: Should We Still Be so Restrictive? Geriatrics older person total knee arthroplasty outcomes comorbidities octogenarians |
| title | Total Knee Arthroplasty in Octogenarians: Should We Still Be so Restrictive? |
| title_full | Total Knee Arthroplasty in Octogenarians: Should We Still Be so Restrictive? |
| title_fullStr | Total Knee Arthroplasty in Octogenarians: Should We Still Be so Restrictive? |
| title_full_unstemmed | Total Knee Arthroplasty in Octogenarians: Should We Still Be so Restrictive? |
| title_short | Total Knee Arthroplasty in Octogenarians: Should We Still Be so Restrictive? |
| title_sort | total knee arthroplasty in octogenarians should we still be so restrictive |
| topic | older person total knee arthroplasty outcomes comorbidities octogenarians |
| url | https://www.mdpi.com/2308-3417/6/3/67 |
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