Total Joint Replacement in the Elderly Patient

2010 ◽  
Vol 26 (3) ◽  
pp. 517-529 ◽  
Author(s):  
Carl T. Talmo ◽  
Claire E. Robbins ◽  
James V. Bono
Keyword(s):  
Elderly Patient ◽  
Joint Replacement ◽  
Total Joint Replacement ◽  
The Elderly

Joint Replacement in the Elderly Patient

2001 ◽  
pp. 900-920
Author(s):  
Roger N. Levy ◽  
Joseph DiGiovanni ◽  
Brian Cohen
Keyword(s):  
Elderly Patient ◽  
Joint Replacement ◽  
The Elderly

Use of Wearable Sensors and Machine Learning Methods in Promoting Total Joint Replacement Treatment Outcomes: A Survey

2020 ◽  
Vol 64 (1) ◽  
pp. 627-631
Author(s):  
Mustafa Ozkan Yerebakan ◽  
Xiang Zhong ◽  
Hari K. Parvataneni ◽  
Chancellor F. Gray ◽  
Boyi Hu
Keyword(s):  
Machine Learning ◽  
Joint Replacement ◽  
Total Joint Replacement ◽  
Population Aging ◽  
Wearable Sensors ◽  
The Elderly ◽  
World Population ◽  
Replacement Treatment ◽  
Time Burden ◽  
Prediction Evaluation

Total Joint Replacement (TJR) surgeries are one of the most prevalent operations that are undergone by the elderly population. With the world population aging, the number of surgeries will continue to increase. A small portion of these surgeries result in complications that require readmissions. These readmissions amount to a significant financial and time burden for both the patients and the hospitals. In the past decade machine learning and wearable sensors have both been used extensively in the healthcare domain but the contribution to the prediction/evaluation and management of TJR is limited. What’s more, to our best knowledge there has been no effort in summarizing the findings from these studies. Therefore, this study highlights what has been achieved by using machine learning and wearable sensors in the TJR context and point out possible research avenues.

scholarly journals Occult Acetabular Fracture in Elderly Patients

2012 ◽  
Vol 6 (1) ◽  
pp. 582-586 ◽  
Author(s):  
Enrique Guerado ◽  
Juan Ramón Cano ◽  
Encarnación Cruz
Keyword(s):  
Elderly Patient ◽  
Early Identification ◽  
Acetabular Fracture ◽  
Groin Pain ◽  
Total Joint Replacement ◽  
Stress Shielding ◽  
The Elderly ◽  
Acetabular Fractures ◽  
X Rays ◽  
Femur Fractures

Acetabular fractures in the elderly are increasingly common; however, an antecedent of trauma may not be known, and the diagnosis easily missed. Early identification and prompt management are needed in order to minimise morbidity rates, but little has been published on occult acetabular fracture. In this paper we present three cases of occult acetabular fracture in patients older than 75 years. All three are females and had previously been operated on the ipsilateral hip with an implant (two proximal femur fractures treated with a proximal intramedullary femoral nail, and one case of total joint replacement); these acetabular fractures could be related to the existence of a stress shielding mechanism. We believe that whenever an elderly patient feels groin pain, and anteroposterior pelvis X-rays are normal, oblique Judet projections (obturator and iliac) should be obtained. In any case, displacement will make any fracture evident within a few weeks.

Piroxicam spares buprenorphine after total joint replacement

1992 ◽  
Vol 63 (6) ◽  
pp. 658-660
Author(s):  
Michel Boeckstyns ◽  
Marianne Backer ◽  
Else Petersen ◽  
Iben Høj ◽  
Henrik Albrechtsen ◽  
...  
Keyword(s):  
Joint Replacement ◽  
Total Joint Replacement

Postoperative Anesthesia Of Elderly And Senile Patients With Total Joint Replacement Of The Lower Extremities

2020 ◽  
Vol 2 (09) ◽  
pp. 75-81
Author(s):  
Gaziev Z.T. ◽  
Avakov V.E. ◽  
Shorustamov M.T. ◽  
Bektemirova N.T.
Keyword(s):  
Epidural Analgesia ◽  
Postoperative Period ◽  
Joint Replacement ◽  
Total Joint Replacement ◽  
Lower Extremities ◽  
Multimodal Analgesia ◽  
Control Group ◽  
Patient Controlled Analgesia ◽  
Physical Status ◽  
Traumatic Injuries

Objective: To evaluate the efficacy and safety of patient-controlled analgesia through prolonged epidural analgesia after joint replacement of the lower extremities. Material and methods. We analyzed the postoperative period of 213 elderly and senile patients who were operated on for degenerative-dystrophic and traumatic injuries of the joints of the lower extremities. All patients underwent total joint replacement (164 - THA and 49 - TKA). The age of patients is from 65 to 90 years (average age was 78 ± 8 years) with a physical status of ASA 3 and above. All examined patients were divided into 2 groups. 63 patients comprised the main group, which in the postoperative period underwent patient-controlled analgesia (PCA) through prolonged epidural analgesia. The control group consisted of 150 patients, for the anesthesia of which in the postoperative period only standard systemic multimodal analgesia was used Conclusion. Patient-controlled analgesia is an alternative to traditional analgesic regimens. This method should be one of the main methods after surgical anesthesia for joint replacement of the lower limb in elderly and senile patients.

scholarly journals COVID-19 (SARS-CoV-2) lymphocyte responses are associated with inflammatory biomarkers in total joint replacement surgery candidates pre-operatively

2021 ◽  
Vol 16 (1) ◽  
Author(s):  
Marco S. Caicedo ◽  
Vianey Flores ◽  
Alicia Padilla ◽  
Samelko Lauryn ◽  
Joshua J. Jacobs ◽  
...  
Keyword(s):  
Joint Replacement ◽  
Total Joint Replacement ◽  
Cross Reactivity ◽  
Inflammatory Biomarkers ◽  
Nucleocapsid Proteins ◽  
Joint Replacement Surgery ◽  
Replacement Surgery ◽  
Operative Planning ◽  
Lymphocyte Responses ◽  
Reactive Lymphocytes

Abstract Background Recent studies indicate that, in addition to antibody production, lymphocyte responses to SARS-CoV-2 may play an important role in protective immunity to COVID-19 and a percentage of the general population may exhibit lymphocyte memory due to unknown/asymptomatic exposure to SARS-CoV-2 or cross-reactivity to other more common coronaviruses pre-vaccination. Total joint replacement (TJR) candidates returning to elective surgeries (median age 68 years) may exhibit similar lymphocyte and/or antibody protection to COVID-19 prior to vaccination Methods In this retrospective study, we analyzed antibody titters, lymphocyte memory, and inflammatory biomarkers specific for the Spike and Nucleocapsid proteins of the SARS-CoV-2 virus in a cohort of n=73 returning TJR candidates (knees and/or hips) pre-operatively. Results Peripheral blood serum of TJR candidate patients exhibited a positivity rate of 18.4% and 4% for IgG antibodies specific for SARS-CoV-2 nucleocapsid and spike proteins, respectively. 13.5% of TJR candidates exhibited positive lymphocyte reactivity (SI > 2) to the SARS-CoV-2 nucleocapsid protein and 38% to the spike protein. SARS-CoV-2 reactive lymphocytes exhibited a higher production of inflammatory biomarkers (i.e., IL-1β, IL-6, TNFα, and IL-1RA) compared to non-reactive lymphocytes. Conclusions A percentage of TJR candidates returning for elective surgeries exhibit pre-vaccination positive SARS-CoV-2 antibodies and T cell memory responses with associated pro-inflammatory biomarkers. This is an important parameter for understanding immunity, risk profiles, and may aid pre-operative planning. Trial registration Retrospectively registered.

Creating a Safer Patient Room Environment: The Contribution of Patient Bed Height

2021 ◽  
Vol 10 (1) ◽  
pp. 180-184
Author(s):  
Dorothy Taylor ◽  
Janice Morse ◽  
Andrew Merryweather
Keyword(s):  
Elderly Patient ◽  
Fall Risk ◽  
The Elderly ◽  
Lower Leg ◽  
Patient Specific ◽  
Leg Length ◽  
Patient Room ◽  
Patient Falls ◽  
Sit To Stand ◽  
Bed Height

Elderly patient falls are expensive and may cause serious harm. Studies have identified the sit-to-stand-and-walk (STSW) task as the task where the greatest number of elderly patient falls occur. There is a great need to identify the particular movement and environmental conditions that lead to these elderly patient falls. This study begins to address this gap by evaluating the elderly patient during self-selected hospital bed egress. Using an observed fall risk episode (FRE) as a fall proxy, statistically significant parameters were identified which include bed height, pausing prior to initiating gait, level of fall risk, and Stand phase. Low bed height was identified as the least safe bed height. Patient-specific bed height (PSBH) using the patient’s lower leg length (LLL) is recommended. In addition, suggested guidelines are presented for clinical application in setting PSBH without measuring the patient’s LLL.

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