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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| Veröffentlicht in: | The Journal of arthroplasty 2012-06, Vol.27 (6), p.1041-1046 |
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| container_title | The Journal of arthroplasty |
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| creator | Lübbeke, Anne, MD, DSc Roussos, Constantinos, MD Barea, Christophe, PhD Köhnlein, Werner, MD Hoffmeyer, Pierre, MD |
| description | 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. |
| doi_str_mv | 10.1016/j.arth.2011.11.023 |
| format | Article |
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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.</description><identifier>ISSN: 0883-5403</identifier><identifier>EISSN: 1532-8406</identifier><identifier>DOI: 10.1016/j.arth.2011.11.023</identifier><identifier>PMID: 22425305</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>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</subject><ispartof>The Journal of arthroplasty, 2012-06, Vol.27 (6), p.1041-1046</ispartof><rights>Elsevier Inc.</rights><rights>2012 Elsevier Inc.</rights><rights>Copyright © 2012 Elsevier Inc. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c411t-f7df170803d6ce31d165179fce1f8bb2f302ec6dff55b0579eb17e09aea747a93</citedby><cites>FETCH-LOGICAL-c411t-f7df170803d6ce31d165179fce1f8bb2f302ec6dff55b0579eb17e09aea747a93</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.arth.2011.11.023$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,780,784,3550,27924,27925,45995</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/22425305$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Lübbeke, Anne, MD, DSc</creatorcontrib><creatorcontrib>Roussos, Constantinos, MD</creatorcontrib><creatorcontrib>Barea, Christophe, PhD</creatorcontrib><creatorcontrib>Köhnlein, Werner, MD</creatorcontrib><creatorcontrib>Hoffmeyer, Pierre, MD</creatorcontrib><title>Revision Total Hip Arthroplasty in Patients 80 Years or Older</title><title>The Journal of arthroplasty</title><addtitle>J Arthroplasty</addtitle><description>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.</description><subject>Age Factors</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Arthroplasty, Replacement, Hip - mortality</subject><subject>Cohort Studies</subject><subject>complication</subject><subject>dislocation</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>functional outcome</subject><subject>Hip Prosthesis</subject><subject>Humans</subject><subject>Male</subject><subject>Middle Aged</subject><subject>octogenarian</subject><subject>Orthopedics</subject><subject>Patient Satisfaction</subject><subject>Periprosthetic Fractures - epidemiology</subject><subject>Postoperative Complications - epidemiology</subject><subject>Prevalence</subject><subject>Prospective Studies</subject><subject>Prosthesis Failure</subject><subject>Reoperation</subject><subject>Retrospective Studies</subject><subject>revision hip arthroplasty</subject><subject>Survival Rate</subject><subject>Treatment Outcome</subject><issn>0883-5403</issn><issn>1532-8406</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2012</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kU1r3DAQhkVpSTZp_kAPQcdevJmRLNsLbWEJ-YJASpscchKyPCLaeq2t5A3sv4_MJj3kUBiYy_O-MM8w9gVhjoDV2Wpu4vg0F4A4zwNCfmAzVFIUTQnVRzaDppGFKkEesqOUVpBBpcoDdihEKZQENWPff9GzTz4M_D6MpufXfsOXuTWGTW_SuON-4D_N6GkYE2-AP5KJiYfI7_qO4mf2yZk-0cnrPmYPlxf359fF7d3VzfnytrAl4li4unNYQwOyqyxJ7LBSWC-cJXRN2wonQZCtOueUakHVC2qxJlgYMnVZm4U8Zl_3vZsY_m4pjXrtk6W-NwOFbdJZhxJl1QBkVOxRG0NKkZzeRL82cZehiav0Sk_a9KRN58nacuj0tX_brqn7F3nzlIFve4Dylc-eok42O7HU-Uh21F3w_-__8S5uez94a_o_tKO0Cts4ZH8adRIa9O_pcdPfUABALVC-AP95kaE</recordid><startdate>20120601</startdate><enddate>20120601</enddate><creator>Lübbeke, Anne, MD, DSc</creator><creator>Roussos, Constantinos, MD</creator><creator>Barea, Christophe, PhD</creator><creator>Köhnlein, Werner, MD</creator><creator>Hoffmeyer, Pierre, MD</creator><general>Elsevier Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20120601</creationdate><title>Revision Total Hip Arthroplasty in Patients 80 Years or Older</title><author>Lübbeke, Anne, MD, DSc ; Roussos, Constantinos, MD ; Barea, Christophe, PhD ; Köhnlein, Werner, MD ; Hoffmeyer, Pierre, MD</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c411t-f7df170803d6ce31d165179fce1f8bb2f302ec6dff55b0579eb17e09aea747a93</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2012</creationdate><topic>Age Factors</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Arthroplasty, Replacement, Hip - mortality</topic><topic>Cohort Studies</topic><topic>complication</topic><topic>dislocation</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>functional outcome</topic><topic>Hip Prosthesis</topic><topic>Humans</topic><topic>Male</topic><topic>Middle Aged</topic><topic>octogenarian</topic><topic>Orthopedics</topic><topic>Patient Satisfaction</topic><topic>Periprosthetic Fractures - epidemiology</topic><topic>Postoperative Complications - epidemiology</topic><topic>Prevalence</topic><topic>Prospective Studies</topic><topic>Prosthesis Failure</topic><topic>Reoperation</topic><topic>Retrospective Studies</topic><topic>revision hip arthroplasty</topic><topic>Survival Rate</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Lübbeke, Anne, MD, DSc</creatorcontrib><creatorcontrib>Roussos, Constantinos, MD</creatorcontrib><creatorcontrib>Barea, Christophe, PhD</creatorcontrib><creatorcontrib>Köhnlein, Werner, MD</creatorcontrib><creatorcontrib>Hoffmeyer, Pierre, MD</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>The Journal of arthroplasty</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Lübbeke, Anne, MD, DSc</au><au>Roussos, Constantinos, MD</au><au>Barea, Christophe, PhD</au><au>Köhnlein, Werner, MD</au><au>Hoffmeyer, Pierre, MD</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Revision Total Hip Arthroplasty in Patients 80 Years or Older</atitle><jtitle>The Journal of arthroplasty</jtitle><addtitle>J Arthroplasty</addtitle><date>2012-06-01</date><risdate>2012</risdate><volume>27</volume><issue>6</issue><spage>1041</spage><epage>1046</epage><pages>1041-1046</pages><issn>0883-5403</issn><eissn>1532-8406</eissn><abstract>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.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>22425305</pmid><doi>10.1016/j.arth.2011.11.023</doi><tpages>6</tpages></addata></record> |
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| 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 |
| title | Revision Total Hip Arthroplasty in Patients 80 Years or Older |
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