Total cement knee arthroplasty in patients of 85–95 years old with terminal stage of degenerative knee disease

• Main Authors: V. Yu. Murylev, P. M. Elizarov, A. V. Muzychenkov, Ya. A. Rukin, A. A. Dering, G. A. Kukovenko, S. S. Alekseev, G. G. Rubin
• Format: Article
• Language: Russian
• Published: Pavlov First Saint Petersburg State Medical University 2018-12-01
• Series: Вестник хирургии имени И.И. Грекова
• Subjects: total knee arthroplasty; geriartric patients; comorbidity
• Online Access: https://www.vestnik-grekova.ru/jour/article/view/1106

The objective of the study is to make the analysis of the results of total cement knee arthroplasty in the most difficult age group of 85–95 years old patients.Material and methods. 40 patients with terminal knee arthrosis were selected based on their comorbidity.Results. Patients with the Charlson comorbidity index of 5–8 points need hospitalization for the treatment of aggravating somatic pathology, as preparation for a future knee arthroplasty. In the operated patients, the result on the KOOS was (76±7.19), and on the WOMAC was (151±4.83) a year after the arthroplasty.Сonclusion. Surgical intervention – total knee arthroplasty in patients of 85–95 years old is possible only if its risk is minimized.