ArticleArthroplasty (London, England)2020
How well do elderly patients do after total knee arthroplasty in the era of fast-track surgery?
Article in Arthroplasty (London, England), 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
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11 citing papers in PubMed, 24 citations in OpenAlex.
- High early complication risk but low risk of re-revision beyond 5 years following revision knee arthroplasty in the elderly: An analysis of 2833 cases using real-world data from an international database.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2026Article
- Considering mental function for successful total knee arthroplasty in older people.World journal of methodology · 2026Article
- Prediction of Inpatient Rehabilitation Length, Discharge Destination and Home-Care Needs After Total Hip and Knee Arthroplasty for Osteoarthritis: A Follow-Up Study on 1.679 Patients.Journal of clinical medicine · 2026Article
- How Old is Too Old? Outcomes of Primary Total Knee Arthroplasty in Patients 70 Years or Older.Journal of orthopaedic case reports · 2025Article
- Similar Recovery Rate for Patients Aged between 50 and 89 Years That Go Home on the Surgery Day and Self-Administer Their Rehabilitation after Kinematically Aligned Total Knee Arthroplasty.Journal of personalized medicine · 2024Article
- Severe genu varus deformity does not affect enhanced recovery after surgery total knee arthroplasty outcomes.Archives of orthopaedic and trauma surgery · 2024Article
- Are patients ready for discharge from the hospital after fast-track total knee arthroplasty?-A qualitative study.PloS one · 2024Article
- The Effect of Age on Peri-Operative Outcomes after FEVAR.Journal of clinical medicine · 2023Article
- Thirty-day morbidity and mortality following primary total elbow arthroplasty in octogenarians.Shoulder & elbow · 2022Article
- Preoperative Patient Expectation of Discharge Planning is an Essential Component in Total Knee Arthroplasty.Knee surgery & related research · 2022Article
- Lessons learnt from the impact of COVID-19 on arthroplasty services in Hong Kong: how to prepare for the next pandemic?Arthroplasty (London, England) · 2021Article
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Authors and funding
7 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionTotal knee arthroplasty (TKA) in the elderly population is becoming increasingly prevalent. This study aimed to compare outcomes of patients aged ≥80 years with those aged < 80 years at time of TKA and to assess the effect of fast track peri-operative care on outcomes in the elderly. MATERIALS AND
methods422 TKAs were performed in aged ≥80 at the time of surgery between 2009 and 2018. A control group aged < 80 years (37-79 +/- 7.6) was established. Peri-operative mortality, complications, 30-day re-admission, length of stay (LOS) and rehabilitation parameters were recorded.
resultsMean age at operation for the ≥80's group and control group was 82.7 (80-93+/- 2.5) and 69.3 (37-79+/- 7.6) years respectively. Post-operative Knee Society Functional Assessment (KSFA) scores were higher in the control group (49 vs. 57, p = 0.003). Average LOS was longer in the ≥80's group (17.2 vs. 12.4 days respectively, p < 0.01). Mortality within 3 months of operation was 0.7% in the ≥80 group and 0% in the control group. Incidence of complications was comparable between the two groups at 12.8 and 12.9% for the group ≥80's and control groups respectively (p = 0.962). Patients ≥80 years, receiving fast track peri-operative care had significantly shorter LOS and higher post-operative KSFA scores at all time points post-operation and shorter LOS (p < 0.01) compared to those who received conventional rehabilitation. LOS was longer in the ≥80's group, which was likely related to higher levels of comorbidities. Complications were comparable in the two groups but were more severe in the elderly. Mortality rate after TKA was very low even in those over the age of 80. Younger patients benefited more in terms of functional improvement after TKA.
conclusionTKA is a safe and efficacious procedure for the elderly. More severe complications, longer length of stay and smaller gains in functional improvement can be expected in the elderly compared to younger patients. Fast track peri-operative care is useful in improving outcomes after TKA for elderly patients.
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