Moreno Palacios Juan Antonio, Cátedra Vallés Elena, Plazas Andreu Natividad, Sancho Loras Ricardo, Manjón-Cabezas Subirats Joaquina, Mozo Muriel Angela
Servicio de Rehabilitación del Hospital General Universitario Gregorio Marañón, Madrid, España.
Rev Esp Geriatr Gerontol. 2009 May-Jun;44(3):120-3. doi: 10.1016/j.regg.2008.10.007. Epub 2009 May 13.
Surgical treatment of osteoarthritis with total knee arthroplasty (TKA) has become a routine technique in patients of "almost" any age. The aim of the present study was to compare the results of TKA according to patient age.
A prospective study was performed in 112 patients with osteoarthritis who underwent TKA from March 1st, 2007 through May 31st, 2007. There were two groups; the first comprised 61 patients aged 65- to 75-years-old and the second included 51 patients aged 76- to 85-years-old. Sociodemographic data and health system use were evaluated. The results were evaluated by using the Hospital Special Surgery (HSS) scale, the SF-36 health survey questionnaire, the visual analogue scale (VAS) for pain, and joint measurement with manual goniometrics. The patients were evaluated before surgery and at 6 months after surgery.
No significant differences were observed between the two groups. Complications and length of hospital stay were similar in both groups. A greater proportion of older patients were referred to a rehabilitation hospital but this difference was not statistically significant.
The results of the present study were similar to those of other studies that found that greater age does not lead to worse functional results.
全膝关节置换术（TKA）治疗骨关节炎已成为“几乎”任何年龄患者的常规技术。本研究的目的是根据患者年龄比较TKA的结果。
对2007年3月1日至2007年5月31日期间接受TKA的112例骨关节炎患者进行了一项前瞻性研究。分为两组；第一组包括61例年龄在65至75岁之间的患者，第二组包括51例年龄在76至85岁之间的患者。评估了社会人口统计学数据和卫生系统使用情况。通过使用医院特殊外科（HSS）量表、SF - 36健康调查问卷、疼痛视觉模拟量表（VAS）以及用手动测角器进行关节测量来评估结果。在手术前和手术后6个月对患者进行评估。
两组之间未观察到显著差异。两组的并发症和住院时间相似。较大比例的老年患者被转诊至康复医院，但这种差异无统计学意义。
本研究结果与其他研究结果相似，即年龄较大并不会导致功能结果更差。
