Are Nonagenarians Too Old For Total Hip Arthroplasty? An Evaluation of Morbidity and Mortality Within a Total Joint Replacement Registry.

A greater number of patients aged 90 and over will become candidates for total hip arthroplasty (THA) as the nonagenarian population continues to grow. This study evaluated the patient characteristics and incidence of postoperative morbidity and mortality of 183 nonagenarian THA patients among 43,543 primary THA patients followed by a total joint replacement registry. Nonagenarians had a greater number of comorbidities preoperatively, experienced a higher one year mortality and had a longer hospital length of stay.

Mortality after shoulder arthroplasty.

One year post-operative mortality among patients with primary elective total shoulder arthroplasty (ETSA) and traumatic shoulder arthroplasty (TSA) were compared to the general population of a large healthcare system. Standardized mortality ratios (SMRs) and 95% confidence intervals (CIs) were calculated. 614 ETSA patients, 1.

Can total knee arthroplasty be safely performed among nonagenarians? An evaluation of morbidity and mortality within a total joint replacement registry.

As the nonagenarian patient population continues to grow, more patients aged 90 and over will become candidates for total knee arthroplasty (TKA). This study evaluated the patient characteristics and incidence of postoperative morbidity and mortality of 216 nonagenarian TKA patients among 81,835 primary TKA patients followed by a total joint replacement registry. Nonagenarians had a greater number of comorbidities preoperatively, experienced a higher rate of deep vein thrombosis and 30 day mortality, and had a longer hospital length of stay.

The effect of chronic kidney disease on total hip arthroplasty.

Patients with chronic kidney disease (CKD) undergoing total hip arthroplasty (THA) were evaluated for risk of revision, surgical site infection (SSI), thromboembolic events, mortality and readmission. 20,720 primary TKA cases were included (smaller sample for readmission evaluation, N = 9322). The prevalence of CKD among THA patients was 6.

Can total knee arthroplasty be safely performed in patients with chronic renal disease?

Background And Purpose: The prevalence of chronic renal disease (CRD) is rising worldwide. Patients with CRD are more likely to have associated medical problems and are at greater risk of postoperative morbidity and mortality. We evaluated patient characteristics and risk of early revision, surgical site infection (SSI), thromboembolic events, mortality, and re-admission of patients with CRD undergoing total knee arthroplasty (TKA).

Angiotensin-converting enzyme activity: a novel way of assessing pulmonary changes during total knee arthroplasty.

Emboli after tourniquet release (TR) during total knee arthroplasty (TKA) occur in all patients. This may lead to fat embolism syndrome with lung injury. Angiotensin-converting enzyme (ACE) lines the pulmonary endothelium, and a decrease in ACE metabolism or hydrolysis of (3)HBPAP ((3)H-benzoyl-Phe-Ala-Pro; a substrate specific for ACE) has been associated with lung injury.

Global Management of Total Hip and Total Knee Arthroplasty Patient Populations: a New, Comprehensive Approach to Deep Vein Thrombosis Prophylaxis.

Venous thromboembolic disease remains a common and potentially fatal complication after total joint arthroplasty. The incidence of deep vein thrombosis (DVT) has been reported to be between 5% and 60% in a number of studies using a variety of prophylaxis regimens. Symptomatic pulmonary embolism has been documented as high as 23%, while fatal pulmonary embolism, although relatively infrequent, remains one of the most catastrophic complications of total joint arthroplasty.

Perioperative morbidity following total knee arthroplasty among obese patients.

To study the relationship between patient weight and perioperative morbidity, 512 total knee arthroplasties performed in 406 patients were reviewed. Patient height, weight, medical history, length of hospital stay, discharge destination (home versus rehabilitation facility), and all complications were recorded. Height and weight were used to calculate a body mass index (BMI) for each patient.