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In-hospital outcomes following primary and revision total hip arthroplasty in nonagenarian patients

  • Hip Arthroplasty
  • Published:
Archives of Orthopaedic and Trauma Surgery Aims and scope Submit manuscript

Abstract

Purpose

The primary goal of this study was to assess the risk of postoperative surgical and medical complications and problems among nonagenarian patients operated with hip arthroplasty.

Methods

Data from a specific high-volume arthroplasty clinic, were collected to evaluate postoperative morbidity and complication rates after hip arthroplasty in nonagenarians, compared with a control group of younger, but similar patients. Outcomes evaluated included length of stay, transfusion rate, and postoperative medical and surgical complication rates.

Results

A total of 97 nonagenarian patients (mean age 91.4 years) were included, and compared with 89 control group patients (mean age 70.18 years). Nonagenarian patients had significantly longer length of stay (11.44 vs. 7.98 days, p < 0.01), significantly higher risk of needing a transfusion (11.30% vs. 3.40%, p = 0.04), and significantly higher risk of a postoperative medical complication (28.90% vs. 11.20%, p = 0.03). There was no difference in postoperative surgical complication rate (7.20% vs. 2.20%, p = 0.12).

Conclusion

Nonagenarian patients, when compared to a younger control group, experience significantly longer hospital stays, and risk of non-surgical complications. Arthroplasty in nonagenarian patients carries with it a high risk of complications, and thus careful pre-operative evaluation and the care of these patients at high volume, specialized clinics is important to optimize outcomes.

Level of evidence

Level III retrospective cohort analysis.

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Funding

The authors did not receive support from any organization for submitted work.

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Authors and Affiliations

  1. Department of Orthopaedic Surgery, HELIOS ENDO-Klinik Hamburg, Holstenstr. 2, 22767, Hamburg, Germany

    Ibrahim Kucukkarapinar, Beren Gozacan, Seper Ekhtiari, Mustafa Fatih Dasci, Thorsten Gehrke & Mustafa Citak

  2. Department of Orthopaedics and Traumatology, Istanbul Bagcilar Training and Research Hospital, Istanbul, Turkey

    Mustafa Fatih Dasci

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Contributions

IK contributed to writing, data collection, editing, analysis. BG contributed to writing, data collection, statistics. SE contributed to data collection, analysis. MFD contributed to data collection, editing, analysis. TG contributed to supervision, proofreading. MC contributed to supervision, proofreading, editing. All authors contributed to the study conception and design. All authors read and approved the final manuscript.

Corresponding author

Correspondence to Mustafa Citak.

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Conflict of interest

M.C. has received funding from W. Link & Co KG outside the submitted work. T.G. has received funding from W. Link & Co KG, Zimmer Biomet Inc., Heraeus and from Ceramtec Co. outside the submitted work.

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Ethical approval was performed and has following number: 2023-300287-WF.

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Kucukkarapinar, I., Gozacan, B., Ekhtiari, S. et al. In-hospital outcomes following primary and revision total hip arthroplasty in nonagenarian patients. Arch Orthop Trauma Surg 144, 475–481 (2024). https://doi.org/10.1007/s00402-023-05032-4

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  • DOI: https://doi.org/10.1007/s00402-023-05032-4

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