INTRODUCTION: Considering the old age, uncertain life expectancy, co-morbidities and fear of postoperative complications, elderly patients often hesitate to undergo simultaneous bilateral total knee arthroplasty (SBTKA). MATERIALS & METHODS: A retrospective study of SBTKA in 46 patients (92 knees) of age >70 years done between 2003 and 2012. Mean age was 80.13 ± 5.24 years (range -70-93 years). RESULTS: 74 percent had 1 or more major medical problems. There was a significant improvement of KSS at six months (p value = 0.00). CONCLUSION: With expected benefits of surgery, SBTKA seems a safe, efficient, and viable procedure for carefully selected elderly patients.
INTRODUCTION: Considering the old age, uncertain life expectancy, co-morbidities and fear of postoperative complications, elderly patients often hesitate to undergo simultaneous bilateral total knee arthroplasty (SBTKA). MATERIALS & METHODS: A retrospective study of SBTKA in 46 patients (92 knees) of age >70 years done between 2003 and 2012. Mean age was 80.13 ± 5.24 years (range -70-93 years). RESULTS: 74 percent had 1 or more major medical problems. There was a significant improvement of KSS at six months (p value = 0.00). CONCLUSION: With expected benefits of surgery, SBTKA seems a safe, efficient, and viable procedure for carefully selected elderly patients.
Entities:
Keywords:
Bilateral; Complications; Nonagenarian; Octogenarian; Total knee arthroplasty
Authors: Carlos B Mantilla; Terese T Horlocker; Darrell R Schroeder; Daniel J Berry; David L Brown Journal: Anesthesiology Date: 2002-05 Impact factor: 7.892
Authors: Bheeshma Ravi; Ruth Croxford; Peter C Austin; Lorraine Lipscombe; Arlene S Bierman; Paula J Harvey; Gillian A Hawker Journal: BMJ Date: 2013-10-30