title: Outcome and long-term results following total hip replacement in elderly patients.
abstract: The authors reviewed the preoperative and postoperative charts and radiographs of 100 patients who were at least 80 years old when they underwent total hip arthroplasty. Seventy-six of these patients were available for further reexamination and evaluation. The average patient age was 85.2 years old (range, 80-97 years). The average followup period was 59.4 months (range, 26-146 months). The female to male ratio was 4 to 1. Osteoarthritis was the most common diagnosis. Hospital stay ranged from 12 to 39 days. Preoperative Charnley pain and walking scores averaged 5.1 points of a possible 12 points, and postoperative scores averaged 10.6 points. Eighty-eight percent of patients remained community walkers, and 60% used a cane. Four percent of the patients had 1 dislocation. There were no instances of mechanical loosening and no deaths. Subjective satisfaction was high. The level of independent living was maintained in 96% of patients at long-term followup. A satisfactory and cost-effective health outcome can be anticipated after total hip arthroplasty in octogenarian and nonagenarian patients.
authors.affiliation: Department of Orthopaedics, Mount Sinai Medical Center, New York, NY, USA.
authors.forename: R N
authors.initials: RN
authors.lastname: Levy
authors.forename: C M
authors.initials: CM
authors.lastname: Levy
authors.forename: J
authors.initials: J
authors.lastname: Snyder
authors.forename: J
authors.initials: J
authors.lastname: Digiovanni
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D017558:Elective Surgical Procedures; D005260:Female; D006622:Hip Prosthesis; D006801:Humans; D008297:Male; D009983:Orthopedic Equipment; D015207:Osteoarthritis, Hip / Q000601:surgery; D011183:Postoperative Complications; D012189:Retrospective Studies; D016896:Treatment Outcome