Acta Ortopédica Mexicana

Figueras-Coll G, Sánchez-Allueva J, Tolós-París R, Camí-Biayna J
Acetabular revision at 96 years old. Is the age a limiting factor in revision surgery for hip replacement?
Acta Ortop Mex 2018; 32 (1)

Language: Español
References: 15
Page: 44-47
PDF: 391.37 Kb.

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This is a case report of a 96 year old woman with pain and functional impotence in her left hip after fall. X rays were performed and loosening of the acetabular component was appreciated. After discussion of treatment options, it was decided to cement an acetabular component for a double mobility head. There was a high rate of medical and surgical complications in revision of hip arthroplasty in elderly patients. However, it can also offer important benefits in terms of independence and quality of life and even increase life expectancy in patients with less comorbidity. In our case after six months of follow-up the patient was able to walk alone using a walker. In the literature review, age does not appear as a limit for the surgical indication. Preoperative medical optimization of the patient as well as shorter operative time and blood loss, are important factors for good results of these cases.

Key words: Revisión, joint replacement, hip, elderly, octogenary.