Younger patients seeking TKR have more surgical complications than older patients
Compared to older patients being evaluated for total knee arthroplasty (TKA), younger patients - under age 60 - have similar pain, disability, and willingness to undergo surgery, reports a study in The Journal of Bone & Joint Surgery. The journal is published in the Lippincott portfolio in partnership with Wolters Kluwer.
However, because patients under 60 also have higher rates of potential risk factors for complications, orthopaedic surgeons are somewhat less likely to recommend TKA for this younger group, suggests the new research by Gillian A. Hawker, MD, MSc, of University of Toronto and colleagues. "Orthopaedic surgeons have to balance the patient's clinical need and willingness with the risk for complications and revision," Dr. Hawker comments. "When they factored all these things in together, they were just as likely to offer surgery to younger versus older people."
Call to incorporate appropriateness criteria into TKA decision-making
How do patient age and age-related characteristics affect recommendations for TKA? The researchers analyzed 2,037 patients with knee osteoarthritis (OA) examined for possible TKA at two arthroplasty centers from 2014 to 2016. Patients were evaluated on factors related to the appropriateness of TKA, including:
- Need for TKA, based on knee symptoms and prior treatment
- Readiness/willingness to undergo TKA
- Health status, including risk factors for complications following TKA
- Expectations of the results of TKA
https://journals.lww.com/jbjsjournal/Abstract/9900/The_Effect_of_Patient_Age_and_Surgical.476.aspx?utm_source=press&utm_medium=press&utm_campaign=jbs_pr_030122
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