Otero-López Antonio, Beaton-Comulada David
Department of Orthopaedic Surgery, School of Medicine, University of Puerto Rico, University of Puerto Rico Medical Sciences Campus, PO Box 365067, San Juan, PR 00936-5067, USA.
Department of Orthopaedic Surgery, School of Medicine, University of Puerto Rico, University of Puerto Rico Medical Sciences Campus, PO Box 365067, San Juan, PR 00936-5067, USA.
Phys Med Rehabil Clin N Am. 2017 Nov;28(4):795-810. doi: 10.1016/j.pmr.2017.06.011. Epub 2017 Aug 25.
There is an increase in the aging population that has led to a surge of reported cases of osteoarthritis and a greater demand for lower extremity arthroplasty. This article aims to review the current treatment options and expectations when considering lower extremity arthroplasty in the elderly patient with an emphasis on the following subjects: (1) updated clinical guidelines for the management of osteoarthritis in the lower extremity, (2) comorbidities and risk factors in the surgical patient, (3) preoperative evaluation and optimization of the surgical patient, (4) surgical approach and implant selection, and (5) rehabilitation and life after lower extremity arthroplasty.
老龄化人口的增加导致骨关节炎报告病例激增，对下肢关节置换术的需求也更大。本文旨在回顾老年患者下肢关节置换术的当前治疗选择和预期，重点关注以下主题：(1) 下肢骨关节炎管理的最新临床指南；(2) 手术患者的合并症和危险因素；(3) 手术患者的术前评估和优化；(4) 手术入路和植入物选择；以及(5) 下肢关节置换术后的康复和生活。
