Knee Replacement Risk

If you have been asking the question, “Am I too old to have a knee replacement?”, listen up, this study may help you decide.

While the term “frail” is not a term that most people would use to describe themselves, a new study has created a frailty score from 11 data points that may be useful to determine vulnerability to complications and mortality, answering the question just how high is my risk going into knee replacement surgery.

This study used a large population of 40,469 patients (61 percent of which were knee replacement patients, 39 percent hip replacement patients) and retrospectively calculated a simplified frailty index consisting of such variables as history of a heart attack, stent and hypertension.

The researchers then ran calculations to determine whether the frailty index had any relationship to poorer outcomes and in fact they found the following significant results.

Frailty Score And Relationship to Mortality: 
Frailty score of 0/10–.08 percent
Frailty score of 4/10– 2 percent

Frailty Score And Relationship to Complications:
Frailty score  0/10–.67 percent
Frailty score of 4/10– 6.24 percent

Highest possible frailty score was 11/11. The population sample was relatively young with a mean age of 66 which is most likely reason why they only had a maximum frailty score of 4/10.

While more research is needed, it is not a bad place to start a discussion with your surgeon if you are worried about the risks of having knee replacement surgery.

Dr Adams, one of the lead researchers “points out that this frailty score could also be used to show that elderly patients should not be denied an option for surgical treatment. Patients who have low frailty scores will probably do well and should be considered on the merits of their health, and not solely on age.”

The moral of the story is that “age” probably has less to do with good knee replacement outcomes than” significant” medical histories. Ask your surgeon about the Frailty index mapped to the ACS NSQIP database.

If you decide to proceed with the surgery, Find the Best Hospitals for Knee Replacement Surgery in Less Than 1 Minute

If you are worried more about knee replacement recovery than knee replacement surgery, Find Out More About Knee Replacement Recovery Times

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Michelle, PT
Michelle, PT

Michelle Stiles called "the no nonsense" therapist, by her patients, created a company called Cowboy Up Recovery after recognizing the bankruptcy of the present medical model. Too many people regard conventional medical wisdom as gospel, ignoring the subversive influences of Big Pharma and Big Medicine. She believes, Americans in general are being trained from an early age to defer to experts in numerous areas of life and losing the impulses for self-responsibility and self-reliance in the process. Over-diagnosis and over-medicating has become endemic. While thankful for the best miracles of modern medicine, she encourages people of all persuasions to listen to their bodies and seek out answers to maintain not just an absence of disease but optimal health. Her advice is: Cowboy Up, no one cares more about your health than you do.

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