Alfonso Daniel T, Howell R Damani, Strauss Eric J, Di Cesare Paul E
Department of Orthopaedic Surgery, Musculoskeletal Research Center, NYU Hospital for Joint Diseases, New York, NY 10003, USA.
J Arthroplasty. 2007 Sep;22(6):807-11. doi: 10.1016/j.arth.2006.10.016.
Among 25 patients of mean age 91.5 years (range, 90-96 years) who received a total hip or knee arthroplasty at the authors' institution, 8% experienced surgical complications, 56% experienced at least 1 medical complication, and 80% received perioperative blood transfusions. At a mean follow-up of 4.1 years, patients were experiencing pain reduction and somewhat higher functional capacity and had slightly better survival characteristics than age-matched controls. Total hip and knee arthroplasty patients in this cohort should be told that they have a higher likelihood of experiencing perioperative medical complications and of receiving a blood transfusion than younger individuals; at the same time, they can expect pain relief as well as equal or better survival than their age-matched peers.
在作者所在机构接受全髋关节或膝关节置换术的25名平均年龄为91.5岁（范围90 - 96岁）的患者中，8%出现手术并发症，56%至少出现1种医疗并发症，80%接受了围手术期输血。平均随访4.1年时，患者疼痛减轻，功能能力有所提高，生存特征略优于年龄匹配的对照组。应告知该队列中的全髋关节和膝关节置换术患者，与年轻个体相比，他们围手术期出现医疗并发症和接受输血的可能性更高；同时，他们可以预期疼痛会缓解，并且生存情况与年龄匹配的同龄人相当或更好。
