Primary total hip replacement in patients over 80 years of age.

We have reviewed 107 patients of 80 years or over who underwent primary total hip replacement. They had many more complications than younger patients. Thus, acute dislocation occurred in 15%, and became chronic in 9%; there were femoral shaft fractures in 4.6% and these, with shaft perforation gave universally poor results. Nevertheless, 75% of patients had a satisfactory outcome, with worthwhile relief of pain. It would seem sensible to warn elderly patients and their relatives of the increased risks in this age group.

[1]  M. A. Ali Khan,et al.  Dislocation following total hip replacement. , 1981, The Journal of bone and joint surgery. British volume.

[2]  M. A. Khan,et al.  Fractures of the femur during total hip replacement and their management. , 1977, The Journal of bone and joint surgery. British volume.

[3]  R. Coates,et al.  Treatment of subcapital femoral fractures by primary total hip replacement. , 1979, Injury.

[4]  R. N. Stauffer,et al.  Management of hip fractures by total hip arthroplasty. , 1980, Clinical orthopaedics and related research.

[5]  T. Phillips,et al.  Risks and benefits of elective hip replacement in the octogenarian. , 1987, CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne.

[6]  J. Sikorski,et al.  Internal fixation versus hemiarthroplasty for the displaced subcapital fracture of the femur. A prospective randomised study. , 1981, The Journal of bone and joint surgery. British volume.