Perioperative complications and postoperative outcome of primary total knee arthroplasty in octogenarians - A systematic review.

Abstract

Osteoarthritis is a common disease worldwide, most commonly affecting the knee. With the rise of obesity, paired with higher life expectancy, prevalence of osteoarthritis of the knee will rise as well. Therefore, Total Knee Arthroplasty (TKA) rates are expected to increase 85 %, estimating 1.26 million procedures worldwide in 2030. Patients will become older with demographic changes and more elderly people will be eligible for procedure, a patient group is often considered vulnerable, with a higher risk of mortality and complications. This systematic review aimed to compare perioperative outcomes after TKA in Octogenarians with those in a younger cohort. After screening 33,336 publications on total joint arthroplasty in the elderly in the PubMed and Web of Science databases, four studies investigating TKA and matching criteria were included. No notable variations in outcomes were detected among elderly compared to younger patients. Eligibility for a procedure should be based on comorbidities and overall health status rather than age alone.