2018, Number 1
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Acta Ortop Mex 2018; 32 (1)
Acetabular revision at 96 years old. Is the age a limiting factor in revision surgery for hip replacement?
Figueras-Coll G, Sánchez-Allueva J, Tolós-París R, Camí-Biayna J
Language: Spanish
References: 15
Page: 44-47
PDF size: 391.37 Kb.
ABSTRACT
This is a case report of a 96 year
old woman with pain and functional impotence
in her left hip after fall. X rays were performed
and loosening of the acetabular component was
appreciated. After discussion of treatment options,
it was decided to cement an acetabular component
for a double mobility head. There was a high rate
of medical and surgical complications in revision
of hip arthroplasty in elderly patients. However,
it can also offer important benefits in terms of
independence and quality of life and even increase
life expectancy in patients with less comorbidity.
In our case after six months of follow-up the
patient was able to walk alone using a walker. In
the literature review, age does not appear as a limit
for the surgical indication. Preoperative medical
optimization of the patient as well as shorter
operative time and blood loss, are important
factors for good results of these cases.
REFERENCES
Parvizi J, Pour AE, Keshavarzi NR, D’Apuzzo M, Sharkey PF, Hozack WJ: Revision total hip arthroplasty in octogenarians. J Bone Joint Surg Am. 2007; 89(12): 2612-8.
Raut VV, Wroblewski BM, Siney PD: Revision hip arthroplasty: can the octogenarian take it? J Artrhoplasty. 1993; 8(4): 401-3.
Ballard TW, Callaghan JJ, Johnston RC: Revision of total hip arthroplasty in octogenarians. J Bone Joint Surg Am. 1995; 77(4): 585-9.
Radcliff e GS, Tomichan MC, Andrews M, Stone MH: Revision hip surgery in the elderly: is it worthwhile? J Arthroplasty. 1999; 14(1): 38-44.
Strehle J, Delnotaro C, Orler R, Isler B: The outcome of revision hip arthroplasty in patients older than age 80 years. J Arthroplasty. 2000; 15(6): 690-7.
Gasbarra E, Perrone FL, Celi M, Rao C, Feola M, Cuozzo N, et al: Total hip arthroplasty revision in elderly patients. Aging Clin Exp Res. 2013; 25 (Suppl 1): S61-3.
Gaiani L, Bertelli R, Palmonari M, Vicenzi G: Total hip arthroplasty revision in elderly people with cement and Burch-Schneider antiprotusio cage. Chir Organi Mov. 2009; 93(1): 15-9.
Grey MA, Keggi KJ: Revision total hip arthroplasty in a centenarian. A case report an review of the literature. J Arthroplasty. 2006; 21(8): 1215-19.
Pagnano MW, McLamb LA, Trousdale RT: Primary and revision total hip arthroplasty for patients 90 years of age or older. Mayo Clin Proc. 2003; 78(3): 285-8.
Saleh KJ, Celebrezze M, Kassim R, Dykes DC, Gioe TJ, Callaghan JJ, et al: Functional outcome after revision hip arthroplasty. Clin Orthop. 2003; 416: 254-64.
Wurtz LD, Feinberg JR, Capello WN, Meldrum R, Kay PJ: Elective primary total hip arthroplasty in octogenarians. J Gerontol A Biol Sci Med Sci. 2003; 58(5): M468-71.
Blom A, Pattison G, Whitehouse S, Taylor A, Bannister G: Early deathfollowing primary total hip arthroplasty: 1,727 procedures with mechanical thrombo-prophylaxis. Acta Orthop. 2006; 77(3): 347-50.
Malkani AL, Dilworth B, Ong K, Baykal D, Lau E, Mackin TN, Lee GC: High Risk of readminssion in octogenarians undergoing primary hip arthroplasty. Clin Orthop Relat Res. 2017; 475(12): 2878-88.
Tsiridis E, Gamie Z, Conaghan PG, Giannoudis PV: Biological options to enhance periprosthetic bone mass. Injury. 2007; 38(6): 704-13.
Goldhahn J, Little D, Mitchell P, Fazzalari NL, Reid IR, Aspenberg P, et al: Evidence for antiosteoporosis therapy in acute fracture situations-recommendations of a multidisciplinary workshop of the International Society for Fracture Repair. Bone. 2010; 46(2): 267-71.