Potentially modifiable comorbid conditions and complications have a major impact on the risks of total hip arthroplasty (THA) for people in their nineties, reports a study in The Journal of Bone & Joint Surgery.
Potentially modifiable comorbid conditions and complications have a major impact on the risks of total hip arthroplasty for people in their nineties, reports a study in The. But while age is a significant factor, the risks associated with THA in nonagenarians are largely related to the patient's overall health and fitness for surgery, according to the new research by Dr. Vincent J. Leopold, MD, and colleagues of the Charité-University Hospital Berlin.
Dr. Leopold and colleagues analyzed the characteristics and outcomes of 263,967 patients ³60 years old who underwent THA between 2012 and 2021. Of these, 1,859 patients—0.7% of the total—were in their nineties. The analysis focused on how patient age andOverall, nonagenarians had higher complication and mortality rates compared with younger age groups. Major complications occurred in 19.9% of patients in their nineties, compared with 10.7% for patients in their eighties, 6.
For mortality, the strongest risk factors were metastatic cancer, pulmonary circulation disorders, alcohol abuse, paralysis, or congestive heart failure. For major and minor complications as well as mortality, risk increased with each additional year of age, with the greatest increase among nonagenarians.
Complications had a major impact on mortality rate. One year after THA, survival rate was 94.4% for nonagenarians without any major complications versus 79.8% for those with major complications., mortality rates for nonagenarians undergoing THA were lower than in the general population of people in their nineties.
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