The Journal of Bone and Joint Surgery, Vol 77, Issue 4 585-589, Copyright © 1995 by Journal of Bone and Joint Surgery, Inc
Revision of total hip arthroplasty in octogenarians
WT Ballard, JJ Callaghan and RC Johnston
Iowa Methodist Medical Center, Des Moines, USA.
Twenty-seven revision total hip arthroplasties were performed in patients
who were at least eighty years old. The average duration of follow-up was
five years. There were no perioperative deaths, and only 11 per cent
(three) of the patients had a major complication; all of the complications
resolved. The only re-revision was the placement of an extended lip-liner
for the treatment of recurrent dislocation. Of the twenty-five patients who
were alive at the time of the most recent follow-up or who had been
survived by a family member who could be interviewed, twenty-one (84 per
cent) said that the operation had improved function, twenty-three (92 per
cent) had less pain, and twenty-two (88 per cent) were satisfied with the
result.