Effect of Parkinson’s Disease on Hemiarthroplasty Outcomes After Femoral Neck Fractures

Acetabular Morphology Predicts the Risk of Dislocation Following Hemiarthroplasty for Femoral Neck Fractures in the Elderly

“…Other authors suggested that the difficulty to maintain patients who have impaired cognitive function in a suitable posture postoperatively might increase the risk of dislocation during the early postoperative period [24,29]. Furthermore, an increased risk of postoperative dislocation within 90 days of surgery is reported in patients affected by neuromuscular diseases, especially Parkinson's disorder [30,31]. Neurologic impairments affecting the hip position in the resting state and muscle unbalancing due to paresis, spasticity, or tremors may be responsible for the increased risk of dislocation.…”

“…A ROC curve analysis showed that patients who had a CEA of ≤ 38.5° or an ADWR ≤ 34.5 were significantly more likely to suffer dislocation after bipolar hemiarthroplasty despite they were not considered to have acetabular dysplasia [32,33]. Morphological risk factors were widely analyzed by many authors, but mainly focused on the postoperative radiographs [1,19,24,31]. However, in agreement with our results, many authors reported that patients who have smaller CEA and ADWR, on post-operative radiographs, were more prone to hip dislocation after hemiarthroplasty for a femoral neck fracture.…”

Parkinson's Disease Is Associated with Increased Complications, Readmission Rates, and Costs of Care after Total Hip Arthroplasty: A Matched-Cohort Analysis

“…They found that the patients who have PD had longer hospital lengths of stay (20.0 vs. 15.6 days; p < 0.001) and were more likely to be immobile (23.1 vs. 9.6%; p < 0.001). 18 Hsiue et al 19 conducted a study on the effect of PD on hemiarthroplasty outcomes after femoral neck fractures (7,721 PD patients, 206,678 control) over a 5-year period. They found that there was no increased risk of any postoperative complications.…”

“…However, PD patients had an increased risk of hospital readmissions (OR: 1.13; 95% CI: 1.02-1.26) and postoperative dislocations (OR: 2.10; 95% CI: 1.58-2.80) within 90 days of surgery. 19 Jämsen et al 17 found that there were no differences in infections (37/857 [4.3%] in PD patients vs. 80/2,571 [3.1%] in control, p ¼ 0.092), revision rates (Hazard ratio: 1.13, 95% CI: 0.50-2.56), or 1-year mortalities (14/857 [1.6%] in PD patients vs. 54/2,571 [2.1%] in control, p ¼ 0.396) when PD patients were compared with non-PD patients undergoing primary total hip or knee arthroplasties. The lack of infections might be due to the uneven distribution of operations among hospitals in PD patients, some of which were conducted at Central Hospital (41.3%).…”

Cemented versus uncemented hemiarthroplasty for femoral neck fractures in patients with neuromuscular diseases: a minimum of 2 years’ follow-up study

“…However, some surgeons prefer to apply the uncemented hemiarthroplasty technique, because they believe it can reduce duration of surgery, intraoperative blood loss, perioperative mortality, and risk of bone cement implantation syndrome (BCIS) [ 8 – 10 ]. Previous studies usually regarded preoperative neuromuscular conditions as a variable affecting dislocation, reoperation, and other complications after hemiarthroplasty, and focused on the relationship between them [ 11 , 12 ], we are unaware of any randomized trials comparing hemiarthroplasties using cemented implants with uncemented implants for treatment of femoral neck fractures in patients with neuromuscular disease.…”