[Indications and complications of surgical treatment of orthopedic diseases in patients over 80].
Due to increasing life expectation the number of elder patients, who need medical care, increases, too. Orthopedic surgery of elder patients especially deals with degenerative changes of locomotor and supporting apparatus, as well as with traumatic lesions. Because of the polymorbidity the rate of complications and risks of operative treatment raises. Representation of a casuistry of 173 operative intervention in patients undergoing operative treatment between 1965 and 1984 (20 years), who where 80 years and older. Most of the cases were operations of choice without any vital indication. Concerning emergency operations traumatological cases were well to the fore. All operative interventions are classified in localisation and intra- and postoperative complications. There was rather a high mortality in these patients compared to the average mortality in our clinic. The indication for operative treatment in high aged patients needs a careful and critical examination of risks and the attainable results. Aesthetic aspects are lesser important. The interdisciplinary collaboration of internal specialists, surgeons, haemostasiologists a.o. is very important to prepare the patients for surgical treatment and to reduce the postoperative complication rate.
Schmitt
E
E
Orthopädische Universitätsklinik und Poliklinik Homburg/Saar.
Heisel
J
J
D000368:Aged; D000369:Aged, 80 and over; D001168:Arthritis / Q000601:surgery*; D004630:Emergencies; D005593:Fracture Fixation, Internal; D006622:Hip Prosthesis; D006801:Humans; D011183:Postoperative Complications / Q000601:surgery*; D012307:Risk Factors; D013122:Spinal Diseases / Q000601:surgery*
Indikation und Komplikationen der operativen Behandlung orthopädischer Krankheitsbilder bei Patienten über 80 Jahre.