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The Bone & Joint Journal

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The Journal of Bone & Joint Surgery British Volume
Vol. 81-B, Issue 4 | Pages 660 - 662
1 Jul 1999
Birdsall PD Hayes JH Cleary R Pinder IM Moran CG Sher JL

Between 1992 and 1994 we performed a prospective study of the effect of total knee replacement (TKR) on the health status of 119 patients over the age of 80 years who had had a primary unilateral TKR.

The Nottingham Health Profile was used to assess this before and at three and 12 months after operation. We found a significant improvement in the scores for pain, emotional reaction, sleep and physical mobility at three months. After 12 months, the scores for pain and sleep were well maintained. The other factors had deteriorated slightly but remained better than before operation.

Our findings show that TKR leads to a significant improvement in the general health status of the very elderly.