Background: Total hip arthroplasty (THA) in the elderly is burdened with several implications. Although the clinical improvements are relevant, psychological aspects are not yet considered. The purpose is to evaluate the clinical and psychological impact on octogenarians and nonagenarians addressing elective THA. Materials and Methods: We conducted a retrospective evaluation of 79 consecutive THAs in 77 patients aged 85 years or older, with a minimum follow-up of 6 months. Clinical aspects were evaluated using the Hip disability and Osteoarthritis Outcome Score (HOOS), while psychological issues were assessed using the Short Form 12 (SF-12), the EQ-5D-5L score, and the EQ VAS. Results: From the starter cohort, 57 patients were fully evaluated, 13 patients died from causes unrelated to surgery, 8 were lost to follow-up, and 3 patients were revised. Mean HOOS statistically raised from 15.42±12.86 (IC 95%: 12.06–18.79) to 92.19±7.41 (IC 95%: 90.25–94.13) ( P <0.00001). Regarding the SF-12 score, the PCS statistically rose from 26.80±5.89 (IC 95%: 25.25–28.34) to 52.15±5.00 (IC 95%: 50.84–53.46) ( P <0.00001), and the MCS from 30.74±9.41 (IC 95%: 28.27–33.20) to 54.57±6.27 (IC 95%: 52.93–56.21) ( P =0.24627). The EQ-5D-5L score statistically improved in each subscale and EQ VAS ( P <0.00001). The cumulative survival rate was 69.62% at 3.5 years of mean follow-up. Conclusion: THA in octogenarian and nonagenarian patients is a safe procedure with excellent clinical results and improvements in psychological aspects.
Biggi et al. (Thu,) studied this question.