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Video: Prognosis Split for Hip Fracture and Hip Replacement in the Elderly
Date:9/2/2008

Two studies look at possible outcomes for older hip patients

ROSEMONT, Ill., Sept. 2 /PRNewswire/ -- As the United States along with the rest of the Western population continue to age, hip fractures and hip replacements will become a more serious concern for patients, families, and healthcare systems. Elderly patients can have positive outcomes following hip replacement surgery, but the extremely elderly hip fracture patient may face more challenges. Additional levels of support and care are now necessary, according to two studies published in the September 2008 issue of The Journal of Bone and Joint Surgery.

To view the Multimedia News Release, go to: http://www.prnewswire.com/mnr/aaos/34597/

One study looked at the outcomes for patients age 80 or older who underwent total hip replacement surgery. Researchers found that outcomes for total hip replacement in patients who were 80 or older at the time of their first surgery were actually as good as in younger patients.

However, the elderly patients in the study did have more:

-- recurrent dislocations, because of diminished muscle strength

-- fractures around the artificial joint, known as periprosthetic fractures
-- infections

The elderly patients had:

-- less implant wear and less frequent loosening of the total hip components than their younger counterparts. Elderly women in particular had less loosening overall than the men.

"We expected that the overall prognosis in elderly patients would be much worse than that of the younger patients," says Daisuke Ogino, Ph.D., senior visiting scientist in the Department of Medicine at Helsinki University Central Hospital and the primary author of the study. "It was a positive surprise that elderly people do so well both with regards to complications and long-term results. This is apparently due to the additional att
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SOURCE American Academy of Orthopaedic Surgeons
Copyright©2008 PR Newswire.
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