[What treatment expectations does the elderly patient have from surgery and what can surgery achieve? From the viewpoint of joint surgery].
Age-dependent wear, increasing proneness to injury during unsuitable activities and sudden falls caused by a general frailness are the reasons why the aged patient meets the joint surgeon. The desired treatment comprises different aims: painless and free motion, full weight-bearing capacity, avoidance of permanent nursing, facilitation of nursing. Adequate osteosynthetic techniques and the application of artificial joint replacement usually allow a fair restoration with early mobilisation and weight-bearing. The operative risks in the acute situation are higher than in elective surgery, while the long-term results of hip and knee replacements are very good.
Pfister
U
U
Städtisches Klinikum Karlsruhe, Chirurgische Klinik.
D000203:Activities of Daily Living / Q000145:classification; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D005593:Fracture Fixation, Internal; D016330:Frail Elderly; D015577:Geriatric Assessment; D006305:Health Status Indicators; D006622:Hip Prosthesis; D006801:Humans; D007592:Joint Diseases / Q000209:etiology / Q000401:mortality / Q000601:surgery*; D007720:Knee Prosthesis; D008297:Male; D011183:Postoperative Complications / Q000209:etiology / Q000401:mortality; D016059:Range of Motion, Articular / Q000502:physiology; D015996:Survival Rate
Welchen Behandlungswunsch hat der Patient in höherem Lebensalter an die Chirurgie und was kann die Chirurgie leisten? Aus der Sicht des Gelenkchirurgen.