Perioperative care of the elderly orthopedic patient

Abstract

Special considerations related to aging (homeostenosis) must be addressed when elderly patients require orthopedic surgery. Assessment of risk and surgical planning should be based on the elderly patient’s “fitness” as opposed to their chronological age. Modifications of surgical technique which take into account the lower demands of the elderly can help eliminate potential postoperative risks. An example of this would include use of constrained THR components which prevent postoperative dislocation. The elderly patient has the potential to benefit as much from orthopedic reconstruction as younger counterparts but special rehabilitation strategies should be incorporated into their treatment plans.