Revision Total Hip Arthroplasty in Patients 80 Years or Older

Abstract We evaluated all revisions performed from March 1996 to December 2008 and compared complications, mortality, and clinical outcomes between patients 80 years and older and patients younger than 80 years. Data were collected prospectively. There were 325 revisions, 84 (25.8%) in patients 80 y...

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Bibliographic Details
Published in:The Journal of arthroplasty 2012-06, Vol.27 (6), p.1041-1046
Main Authors: Lübbeke, Anne, MD, DSc, Roussos, Constantinos, MD, Barea, Christophe, PhD, Köhnlein, Werner, MD, Hoffmeyer, Pierre, MD
Format: Article
Language:English
Subjects:
Age Factors
Aged
Aged, 80 and over
Arthroplasty, Replacement, Hip - mortality
Cohort Studies
complication
dislocation
Female
Follow-Up Studies
functional outcome
Hip Prosthesis
Humans
Male
Middle Aged
octogenarian
Orthopedics
Patient Satisfaction
Periprosthetic Fractures - epidemiology
Postoperative Complications - epidemiology
Prevalence
Prospective Studies
Prosthesis Failure
Reoperation
Retrospective Studies
revision hip arthroplasty
Survival Rate
Treatment Outcome
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Summary:Abstract We evaluated all revisions performed from March 1996 to December 2008 and compared complications, mortality, and clinical outcomes between patients 80 years and older and patients younger than 80 years. Data were collected prospectively. There were 325 revisions, 84 (25.8%) in patients 80 years and older and 241 in patients younger than 80 years (62% revision for aseptic loosening in both groups). The mean follow-up was 4.3 years. The results, 80 years and older vs younger than 80 years, revealed the following: mortality, 5% vs 0% 3 months postoperatively; medical complications in 23.8% vs 6.2%; postoperative fractures, 9.5% vs 2.5%; and improved Merle d'Aubigné scores from 9.6 to 13.0 vs 10.4 to 14.3. Revision total hip arthroplasty in patients 80 years and older was associated with substantial clinical improvement and patient satisfaction. However, medical complications and 90-day mortality were higher, and postoperative fractures occurred more frequently.
ISSN:0883-5403
1532-8406
DOI:10.1016/j.arth.2011.11.023