Total joint replacement (TJR) of the hip and knee is an effective procedure resulting in decreased pain and improved function in osteoarthritis patients. TJR is increasing at a significant rate, and increased awareness of potential complications following TJR is of paramount importance to all practitioners. The geriatric patient may be more susceptible to perioperative complications following TJR; therefore, careful preoperative planning, close perioperative monitoring, and the institution of appropriate preventative measures can minimize complications or dampen their impact. Complications to consider in the elderly patient following TJR include infection, thromboembolism, fracture, hip dislocation, and delirium, as well as cardiovascular complications.
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