title: [Joint replacement in the elderly].
abstract: Special characteristics must be taken into consideration for replacement arthroplasty in the elderly. The indications, preoperative preparation, postoperative care, implant selection, intraoperative technique, as well as clinical results reveal sometimes substantial differences compared to younger patients. Based on these findings it is important to individualize the approach to patient therapy, especially due to distinct differences between chronological and biological age in the elderly, in association with the level of activity and expectations on the new joint. All types of implants, each with implant-specific characteristics that must be taken into consideration, are available independent of the age of the patient. In summary, attributes such as stability and pain-free mobility have to be given priority in the elderly.
authors.affiliation: Orthopädische Klinik für die Universität Regensburg, Asklepios Klinikum Bad Abbach, Kaiser-Karl V.-Allee 3, 93077, Bad Abbach, Deutschland. dr.clemensbaier@gmail.com.
authors.forename: C
authors.initials: C
authors.lastname: Baier
authors.affiliation: Orthopädische Klinik für die Universität Regensburg, Asklepios Klinikum Bad Abbach, Kaiser-Karl V.-Allee 3, 93077, Bad Abbach, Deutschland.
authors.forename: J
authors.initials: J
authors.lastname: Grifka
authors.affiliation: Orthopädische Klinik für die Universität Regensburg, Asklepios Klinikum Bad Abbach, Kaiser-Karl V.-Allee 3, 93077, Bad Abbach, Deutschland.
authors.forename: A
authors.initials: A
authors.lastname: Keshmiri
authors.affiliation: Orthopädische Klinik für die Universität Regensburg, Asklepios Klinikum Bad Abbach, Kaiser-Karl V.-Allee 3, 93077, Bad Abbach, Deutschland.
authors.forename: G
authors.initials: G
authors.lastname: Maderbacher
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D019643:Arthroplasty, Replacement / Q000009:adverse effects / Q000379:methods*; D019317:Evidence-Based Medicine; D005260:Female; D015577:Geriatric Assessment / Q000379:methods*; D005858:Germany; D006801:Humans; D007595:Joint Prosthesis; D008297:Male; D018579:Patient Selection; D018802:Patient-Centered Care / Q000379:methods*; D019990:Perioperative Care / Q000379:methods*; D011183:Postoperative Complications / Q000209:etiology* / Q000517:prevention & control*; D016896:Treatment Outcome
keywords: Geriatrics; Pain-free mobility; Stability; Total joint arthroplasty; Traumatology