Total Joint Replacement in the Elderly Patient
Total Joint Replacement in the Elderly Patient
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DOI：
10.1016/j.cger.2010.04.002
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发表时间：
2010-08-01
影响因子：
3.3
通讯作者：
Bono, James V.
中科院分区：
文献类型：
--
作者：
Talmo, Carl T.;Robbins, Claire E.;Bono, James V.
在日益增长的老年人群中，髋部和膝部骨关节炎极为常见。髋部和膝部的全关节置换（TJR）是非常有效的手术，能减轻所有年龄组（包括老年人）患者的疼痛，改善其功能和生活质量。TJR的患病率和使用率正显著上升，因此，提高医疗服务提供者对TJR围手术期问题的认识至关重要。尽管老年患者可能更容易出现围手术期并发症，但长期成功率仍然很高，而且仔细的围手术期监测和预防措施已使老年患者的安全性较高，不良结果较少。
Osteoarthritis of the hip and knee is extremely common in the growing elderly population. Total joint replacement (TJR) of the hip and knee are extremely effective procedures, resulting in decreased pain and improved function and quality of life in patients of all age groups including the elderly. The prevalence and use of TJR is increasing at a significant rate, therefore increased awareness of perioperative issues following TJR among health care providers is of paramount importance. Although elderly patients may be slightly more susceptible to perioperative complications, long-term success rates remain high, and careful perioperative monitoring and preventative measures have resulted in high rates of patient safety and few adverse outcomes in the elderly.