Total Knee Replacement: Outcomes by Age vs Co-Morbidities

PainRelief.com Interview with:
Juan Ignacio, Teves
Agustin, Garcia-Mansilla

Italian Hospital of Buenos Aires

PainRelief.com:  What is the background for this study?

Response: It is well known that the increased life expectancy of the general population leads to an increase in the number of prosthetic replacement surgeries in the years to come. A concern of patients who consult for this type of procedure is whether age alone is a risk factor for this surgery and the literature is not conclusive about whether age or comorbidities are more important in postoperative results.

For this reason, we decided to compare two series of patients, some older than 80 years and others younger, to determine whether or not age influences the result of total knee replacement.

PainRelief.com: What are the main findings?

Response: We found that age as an independent factor proved not to be by itself a predictor of unplanned readmissions or worse clinical-functional results in a period of 90 postoperative days between both groups.

PainRelief.com: What should readers take away from your report?

Response: We believe that the preoperative evaluation of octogenarian patients should be multidisciplinary, with special attention to the identification of comorbidities that can influence the fragility of a patient and the optimization of the pathology.

PainRelief.com: What recommendations do you have for future research as a result of this work?

Response: We believe that future studies should aim to identify those patients with greater surgical risk due to the comorbidities they present in order to plan a safe surgery with an adequate preoperative and postoperative plan.

Citation:

Total Knee Replacement in Octogenarians, Is Age a Determining Factor in Predicting Complications? A case-control study”. European Journal of Orthopaedic Surgery & Traumatology. https://doi.org/10.1007/s00590-021-03196-6

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