Claßen T, Scheid C, Landgraeber S, Jäger M
Klinik für Orthopädie und Unfallchirurgie, Universitätsklinikum Essen, Hufelandstr. 55, 45247, Essen, Deutschland.
Orthopade. 2017 Jan;46(1):25-33. doi: 10.1007/s00132-016-3364-4.
Due to demographic changes the number of elderly patients undergoing hip replacement surgery is increasing. In order to ensure safe treatment of elderly patients, age-specific medical factors must be taken into consideration. This article presents an overview of these factors. Furthermore, we evaluated our own patients treated between 2010 and 2015 regarding age-related treatment strategies and complication rates. Out of 3166 patients a total of 439 were over 80 years old (average age 84 years). It can be concluded from the scientific literature and from own data that elective hip replacement surgery in elderly patients is a technically safe procedure; however, the risk profile of each patient must be thoroughly analyzed so that in the event of even minor signs of potential complications countermeasures can be taken in good time.
由于人口结构的变化,接受髋关节置换手术的老年患者数量正在增加。为确保老年患者得到安全治疗,必须考虑特定年龄的医学因素。本文概述了这些因素。此外,我们评估了2010年至2015年间接受治疗的患者在年龄相关治疗策略和并发症发生率方面的情况。在3166例患者中,共有439例年龄超过80岁(平均年龄84岁)。从科学文献和我们自己的数据可以得出结论,老年患者的择期髋关节置换手术在技术上是安全的;然而,必须对每位患者的风险状况进行全面分析,以便在出现哪怕是潜在并发症的轻微迹象时,都能及时采取应对措施。