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Knee replacement in folks over 80: Less risky than you think
Medical Xpress / Maimonides Medical Center / American Academy of Orthopaedic Surgeons ^ | Mar. 22, 2022 | Priscilla Varghese et al

Posted on 03/22/2022 2:00:22 PM PDT by ConservativeMind

Knee replacement surgery is increasingly common among people over 80 sidelined with knee pain, and the procedure isn't as hazardous for them as often assumed.

That's the main message from a new study of more than 1.7 million seniors who underwent knee replacement surgery.

Octogenarians do have longer hospital stays after knee replacement surgery and are also more likely to be readmitted to the hospital within 90 days than patients aged 65 to 79, but the two age groups tend to have similar risks for other complications, the study team found.

Varghese conducted the study at Maimonides Medical Center, in Brooklyn. "Knee replacement surgery carries a very low risk for people aged 80 and older, and they will likely have a substantial, if not complete, reduction of pain after surgery," Varghese said.

For the study, the researchers analyzed medical claims data on more than 1.7 million people aged 65 and older who got a new knee. The investigators compared complication rates among people aged 80 and older to those experienced by patients aged 65 to 79.

Rates of readmission and length of hospital stay were higher and longer among octogenarians, the results showed.

Both age groups had similar risks for medical complications (such as pneumonia and other infections) in the 90 days following their surgery.

But folks aged 80 and up had lower rates of implant-related complications—such as erosion, infection, implant failure and mechanical loosening—than their younger counterparts after two years.

This makes sense, she said: "The younger group of patients may be more active so they have a higher risk of wear and tear on the hardware."

Surgery isn't the only option for these older patients. Other treatments such as weight loss or steroid injections may help, but knee pain typically doesn't get better on its own, Varghese said.

(Excerpt) Read more at medicalxpress.com ...


TOPICS: Health/Medicine
KEYWORDS: elderly; kneereplacement
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It sounds like a good option for those who were told it wasn’t safe.
1 posted on 03/22/2022 2:00:22 PM PDT by ConservativeMind
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To: Pete from Shawnee Mission; Mazey; ckilmer; goodnesswins; Jane Long; BusterDog; jy8z; ...

The “Take Charge Of Your Health” Ping List

This potentially high volume ping list is for health articles and studies which describe something you or your doctor, when informed, may be able to implement for your benefit.

Now keeping a new list (“Common Issues”) for conditions expected to only concern at least 1% of the population. Ask to be on either the “Common Issues” or “Everything” list.

Please email or private message me if you want on or off of a list and of which list you desire.

2 posted on 03/22/2022 2:01:11 PM PDT by ConservativeMind (Trump: Befuddling Democrats, Republicans, and the Media for the benefit of the US and all mankind.)
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To: ConservativeMind

I WILL read the article honest, but...I previously watched a couple YouTube animated videos of a knee replacement. It was just gruesome. Also looked like there were a lot of places it could go wrong. Scared me...and my knees kill me.


3 posted on 03/22/2022 2:06:29 PM PDT by moovova
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To: ConservativeMind

My 1st knee replacement was in 2011. 3 nights in hospital recovery.

My 2nd replacement was 2013. 2 nights in hospital.

My younger brother had knee replacement 2019 as an out patient. In & out same day.

Amazing!


4 posted on 03/22/2022 2:07:55 PM PDT by noexcuses
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To: moovova

Do you have Osteo or rheumatoid?


5 posted on 03/22/2022 2:09:30 PM PDT by ConservativeMind (Trump: Befuddling Democrats, Republicans, and the Media for the benefit of the US and all mankind.)
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To: moovova

I’ve known a bunch if people that had knees and hips replaced. All but one were very happy they did it. The ine that didn’t had refused to do the post surgery physical therapy and never got back the mobility all the others did.


6 posted on 03/22/2022 2:10:04 PM PDT by Dutch Boy (The only thing worse than having something taken from you is to have it returned broken. )
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To: ConservativeMind

They still won’t be able to play professional sports...


7 posted on 03/22/2022 2:14:05 PM PDT by glorgau
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To: moovova
Scared me...and my knees kill me.

My 1st replacement I was knocked out.

The 2nd one I had a spinal - awake but loopy. I could hear the saws and other construction tools. Was laughing and asked to see my new knee before they installed it.

Recovery is a process. You need to do the physical therapy.

But I have never regretted going thru it twice. No pain.

8 posted on 03/22/2022 2:18:47 PM PDT by noexcuses
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To: glorgau

Not many 80 year olds are playing professional sports.


9 posted on 03/22/2022 2:20:39 PM PDT by Irish Eyes
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To: ConservativeMind

Thanks for this. I have a cranky but not quite painful hip joint.

I went to WebMD to see what they say about prevention, the site my MD consults when we discuss supplements he prescribes for me. Here’s what they say you can do to keep your joints strong:

https://www.webmd.com/osteoarthritis/osteoarthritis-prevention-1

For D3, I use Carlson’s Norwegian Fish Oil. Lemon flavored. My doc prescribes it.

Most of the handful of supplements I take are deductible as drugs because he prescribes them. Genius MD.


10 posted on 03/22/2022 2:37:28 PM PDT by Veto! (Political Correctness offends me)
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To: noexcuses

I need both. Did you go home or to rehab?


11 posted on 03/22/2022 2:42:51 PM PDT by peggybac (My will is what I wanted. God's will is what I got.)
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To: Dutch Boy
The one that didn’t had refused to do the post surgery physical therapy and never got back the mobility all the others did.

Physical therapy really works. Gotta do the PT.

12 posted on 03/22/2022 2:48:54 PM PDT by TChad ("Joe, we should evacuate the civilians before the military. You understand that, right? Joe?")
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To: peggybac

I went home. You definitely need help for at least the 1st week.


13 posted on 03/22/2022 2:52:36 PM PDT by noexcuses
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To: ConservativeMind

3 weeks ago, on 1 March, my soon to be 82 year old wife had a hip replacement and came home the same day after the procedure.

The next Day, Kaiser had a home PT call on her 3 times a week through yesterday.

My wife is improving daily and is able to do more exercises and recovery PT each day.

She still tires out easily and needs to rest.

She only needed half of a pain pill for 3 nights. She takes 2 Celebrex, 2 Tylenol and 2 baby aspirin and uses ice packs when needed for her aches and pain.

Due to the Covid B$, her operation was delayed for months.

Before her operation, when she walked or got up after setting, her hip sounded like rocks in a cement mixer. That pain and aggravation has been gone since she left the hospital.

I was able to be with her pre and post op by wearing a disposable mask that went into a trash barrel as we left the hospital to bring her home. My mask joined hers and both ended up with other masks in the trash container where I picked her up to bring her home.


14 posted on 03/22/2022 3:01:26 PM PDT by Grampa Dave (Playing “Make Believe” is for children, time to grow up!)
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To: ConservativeMind

sounds like collusion between medical professionals, replacement joint manufacturers, and the medical insurance groups to get paid to experiment on people...


15 posted on 03/22/2022 3:04:22 PM PDT by heavy metal (smiling improves your face value and makes people wonder what the hell you're up to... 😁)
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To: ConservativeMind

If you knee gets straightened out right away.

It’s been nearly a year for me and my knee replacement has not straightened out. They have to do it right away.


16 posted on 03/22/2022 3:21:26 PM PDT by Salvation ("With God all things are possible." Matthew 19:26)
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To: Veto!

My hip healed much faster than my knee.


17 posted on 03/22/2022 3:23:38 PM PDT by Salvation ("With God all things are possible." Matthew 19:26)
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To: ConservativeMind

Friend had her hip replaced at age 95

Lived til 101 and 5 months travelling frequently until a few weeks before passing.


18 posted on 03/22/2022 3:33:36 PM PDT by Vendome (I've Gotta Be Me https://youtu.be/wH-pk2vZG2M)
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To: Veto!

Yes, the supplements really do work.

When I was 18, my mom dragged me to the ER because my knee was swollen. The X-rays showed ostearthritis.

A year later, I started having great difficulty going upstairs.

(Mind you, this isn’t a weight thing—I’ve been thin all my life.)

Then I started taking fish oil. My knees have hardly ever hurt or been stiff since.


19 posted on 03/22/2022 3:55:22 PM PDT by CheshireTheCat ("Forgetting pain is convenient.Remembering it agonizing.But recovering truth is worth the suffering")
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To: Veto!

You might research platelet-rich-plasma injections. Ask your ortho doc about it.


20 posted on 03/22/2022 5:31:13 PM PDT by LouAvul
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