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Journal of Bone and Joint Surgery - British Volume, Vol 86-B, Issue 2, 200-204.
doi: 10.1302/0301-620X.86B2.14341  
Copyright © 2004 by British Editorial Society of Bone and Joint Surgery
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Hydroxyapatite-coated, cementless total knee replacement in patients aged 75 years and over

P. Dixon, MBBCh, FRCS Orth, Orthopaedic Fellow; E. N. Parish, MHSc, Research Assistant; B. Chan, MBBS, FRCS Ed (Orth), FHKAM (Orth), Orthopaedic Fellow; J. Chitnavis, MChir, FRCS Orth, Orthopaedic Fellow; and M. J. Cross, OAM, MBBS, MD, FRACS, Consultant Knee Surgeon

Australian Institute of Musculo-Skeletal Research, 286 Pacific Highway, Crows Nest, Sydney 2065, Australia.

Correspondence should be sent to Dr M. J. Cross.

We have carried out a prospective study comparing the results at five years in patients older than 75 years of age undergoing hydroxyapatite-coated, cementless total knee replacement (TKR) with those who were younger. The Knee Society clinical rating scores were recorded before and after operation. Of 559 patients undergoing TKR, 135 were in the elderly age group. The knee scores at five years or more showed comparable results, with patients under 75 years of age reaching a score of 183 and those aged 75 years or over reaching 174. These differences were predominantly due to the functional component of the score. We conclude that elderly patients do just as well as the younger group using this prosthesis.




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Hip, Knee, Trauma, Upper limb, Foot & Ankle, Paediatrics, Oncology, Spine, Arthroplasty, General