Verra Wiebe Chr, de Craen Anton J M, Jaspars Coen C M M, Gussekloo Jacobijn, Blauw Gerard Jan, Westendorp Rudi G J, Maier Andrea B, Nelissen Rob G H H
Department of Orthopaedic Surgery, Leiden University Medical Center, P.O. Box 9600, 2300 RC Leiden, The Netherlands.
J Aging Res. 2012;2012:968389. doi: 10.1155/2012/968389. Epub 2012 May 8.
Total hip or knee replacement is effective in improving joint function, quality of life, and pain reduction. The oldest old population with joint replacements (TJR) is underrepresented in current literature. We compared health-related and functional characteristics of oldest olds with and without TJR. Participants (aged 85 years) were divided into a group with and without TJR. Comorbidity, physical and joint functioning, daily living activities, quality of life, and mortality were recorded. Thirty-eight of 599 participants (6.3%) received a TJR in the past. Participants with a TJR had slightly less comorbidities, walked slower (P = 0.006), and complained more about hip-pain (P = 0.007). Mortality of those with a TJR was lower during the first 8-year followup (P = 0.04). All other characteristics were comparable between groups. We conclude that subjects with a TJR performed equally well, besides showing a lower gait speed and a higher frequency of hip-pain. Except for the lower gaitspeed, having a TJR is not associated with poorer health.
全髋关节或膝关节置换术在改善关节功能、生活质量和减轻疼痛方面是有效的。目前的文献中，接受关节置换术（TJR）的高龄老年人的比例较低。我们比较了接受和未接受TJR的高龄老年人的健康相关和功能特征。参与者（年龄≥85岁）被分为接受TJR组和未接受TJR组。记录了合并症、身体和关节功能、日常生活活动、生活质量和死亡率。599名参与者中有38名（6.3%）过去接受过TJR。接受TJR的参与者合并症略少，行走速度较慢（P = 0.006），且更多抱怨髋关节疼痛（P = 0.007）。在最初的8年随访期间，接受TJR者的死亡率较低（P = 0.04）。两组之间的所有其他特征具有可比性。我们得出结论，接受TJR的受试者表现同样良好，只是步态速度较慢且髋关节疼痛频率较高。除了步态速度较慢外，接受TJR与健康状况较差无关。
