Comparison of Outcomes and Survivorship Between Patients of Different Age Groups Following TKA

被引：61

作者：

McCalden, Richard W. ^{[1
]}

Robert, Christopher E. ^{[1
]}

Howard, James L. ^{[1
]}

Naudie, Douglas D. ^{[1
]}

McAuley, James P. ^{[1
]}

MacDonald, Steven J. ^{[1
]}

机构：

[1] Univ Western Ontario, London Hlth Sci Ctr, London, ON, Canada

来源：

JOURNAL OF ARTHROPLASTY | 2013年 / 28卷 / 08期

关键词：

outcomes; survivorship; TKA; age-related;

D O I：

10.1016/j.arth.2013.03.034

中图分类号：

R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];

学科分类号：

摘要：

A total of 6275 consecutive TKA patients were divided into three groups based on their age: <55, 55-70 and >70 years. There was a statistically significant difference in the change in WOMAC score (32 vs 31 vs 26, P < 0.001) and Knee Society Score (78.9 vs 76.0 vs 69.0, P < 0.001) favoring the younger populations. However, the revision rate was higher in the younger patients with a Kaplan-Meier survivorship at 5 years of 95.5%, 97.2% and 98.1% and at 10 years of 92.2%, 95.9% and 97.6%. Infection was the most frequent cause for failure in all groups although aseptic loosening and instability accounted for the increased revision rate in the younger patients. Younger patients may experience slightly better clinical outcomes following TKA but lower survivorship, when compared to older patient populations. (C) 2013 Elsevier Inc. All rights reserved.

引用

页码：83 / 86

页数：4

共 12 条

[1]

[Anonymous], ANN REP 2011

[2]

Australian Orthopaedic Association National Joint Replacement Registry, 2011, Annual Report

[3] Total knee replacement in young, active patients - Long-term follow-up and functional outcome [J].

Diduch, DR ;

Insall, JN ;

Scott, WN ;

Scuderi, GR ;

FontRodriguez, D .

JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME, 1997, 79A (04) :575-582

[4] Ten-year survival of cemented total knee replacement in patients aged less than 55 years [J].

Keenan, A. C. M. ;

Wood, A. M. ;

Arthur, C. A. ;

Jenkins, P. J. ;

Brenkel, I. J. ;

Walmsley, P. J. .

JOURNAL OF BONE AND JOINT SURGERY-BRITISH VOLUME, 2012, 94B (07) :928-931

[5] What is the Evidence for Total Knee Arthroplasty in Young Patients? A Systematic Review of the Literature [J].

Keeney, James A. ;

Eunice, Selena ;

Pashos, Gail ;

Wright, Rick W. ;

Clohisy, John C. .

CLINICAL ORTHOPAEDICS AND RELATED RESEARCH, 2011, 469 (02) :574-583

[6] Long-Term Comparison of Fixed-Bearing and Mobile-Bearing Total Knee Replacements in Patients Younger Than Fifty-one Years of Age with Osteoarthritis [J].

Kim, Young-Hoo ;

Kim, Jun-Shik ;

Choe, Jin-Woo ;

Kim, Hyoung-Jin .

JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME, 2012, 94A (10) :866-873

[7] Prevalence of primary and revision total hip and knee arthroplasty in the United States from 1990 through 2002 [J].

Kurtz, S ;

Mowat, F ;

Ong, K ;

Chan, N ;

Lau, E ;

Halpern, M .

JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME, 2005, 87A (07) :1487-1497

[8] Future Young Patient Demand for Primary and Revision Joint Replacement: National Projections from 2010 to 2030 [J].

Kurtz, Steven M. ;

Lau, Edmund ;

Ong, Kevin ;

Zhao, Ke ;

Kelly, Michael ;

Bozic, Kevin J. .

CLINICAL ORTHOPAEDICS AND RELATED RESEARCH, 2009, 467 (10) :2606-2612

[9] Validity and responsiveness of the Knee Society Clinical Rating System in comparison with the SF-36 and WOMAC [J].

Lingard, EA ;

Katz, JN ;

Wright, J ;

Wright, EA ;

Sledge, CB .

JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME, 2001, 83A (12) :1856-1864

[10] Total Knee Arthroplasty in Patients 40 Years and Younger [J].

Mont, Michael A. ;

Sayeed, Siraj A. ;

Osuji, Obi ;

Johnson, Aaron J. ;

Naziri, Qais ;

Delanois, Ronald E. ;

Bonutti, Peter M. .

JOURNAL OF KNEE SURGERY, 2012, 25 (01) :65-69

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