Hip Fractures in Patients with Parkinsonʼs Syndrome

Eventov, I.; Moreno, Marcos; Geller, Eran; Tardiman, R.; Salama, R

doi:10.1097/00005373-198302000-00004

Cited by 56 publications

(53 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Mortality rates at 6 months postoperatively of 20-47% have been reported for patients with Parkinson's disease who undergo prosthetic replacement for femoral neck fractures [3,4,13]. Although the 5.6% mortality rate in the present series compares favorably with the latter, it certainly is higher than in the general population undergoing total hip arthroplasty.…”

Section: Discussioncontrasting

confidence: 47%

“…Extrapolations have been made [5] from various reports on arthroplasty for femoral neck fractures. Dislocation rates from 2-37% have been reported [3,4,11,13,16]. Our series demonstrated no dislocation in the group of primary total hip arthroplasty for osteoarthrosis and 12% in the nonprimary group.…”

Section: Discussionsupporting

confidence: 44%

“…Modern medical treatment effectively relieves tremor, rigidity, and akinesia; however, impairment of the righting reflexes in the more advanced stages is aggravated by the postural hypotension that is a side effect of levodopa. High rates of complication, unsatisfactory results, and death are reported in the orthopedic management of patients with Parkinson's disease, particularly in hip fractures [3,4,11,12,13,14] and total shoulder replacement [8]. In total knee arthroplasty reports of uniformly good results [15] contrast with other reports of uniformly poor results 9].…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Total hip replacement in patients with Parkinson's disease

Weber

2002

International Orthopaedics

View full text Add to dashboard Cite

From 1970 to 1994, 107 total hip arthroplasties (THAs) were performed in 98 patients with Parkinson's disease. The average age of the patients was 72 years. Preoperative diagnoses were osteoarthrosis in 58 hips, failed endoprosthesis in 19, aseptic loosening in ten, femoral neck fracture in 18, and other diagnoses in two. Milder neurological stages I-III were assigned to 96 patients, and tendon release for contracture was performed in eight patients. Of the 38 complications eight were urinary tract infections and six dislocations. Of these 15 occurred in the 58 primary THAs and 23 in the 49 nonprimary THAs. In patients with primary THAs there were no dislocations; however, one of the four postoperative deaths occurred following primary THA. We followed 75 hips for 7 (2-21) years; 51 patients had died by the time of the study. Neurological status deteriorated over time with 57% of patients progressing to functional stages IV or V, although consistent improvement was noted for pain relief. Function was directly related to the stage of the neurological disease.Résumé De 1970 à 1994, 107 arthroplasties totales de la hanche (THA) ont été exécutées chez 98 patients atteints de la maladie de Parkinson. L'âge moyen des patients était 72 ans. Le diagnostic préopératoires étaient une coxarthrose pour 58 hanches, un échec de prothèse pour 29, une fracture du col fémoral pour 18, et une autres cause pour 2. 96 patients avaient un état neurologique correspondant à un stade I à III. Des ténotomies pour contractures ont été faite chez huit patients. Il y avait 38 complications parmi lesquelles huit infections urinaires et six luxations. 15 des complications se sont produites dans les 58 arthroplasties primaires et 23 dans les 49 non-primaires. Dans le groupe des arthroplasties primaires il y avait un des quatre morts postopératoires mais aucune luxation. 75 hanches ont été suivies pendant 7 (2-21) années. 51 patients étaient décédés au moment de l'étude. L'état neurologique s'est altéré avec le temps avec 57% des patients atteignant les stades IV ou V. Une amélioration constante a été notée dans le soulagement de la douleur. La fonction était en rapport direct avec le stade de la maladie neurologique.

show abstract

Section: Discussioncontrasting

confidence: 47%

Section: Discussionsupporting

confidence: 44%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Total hip replacement in patients with Parkinson's disease

Weber

2002

International Orthopaedics

View full text Add to dashboard Cite

show abstract

“…Haidukewych et al [13] reported high component survivorship (95.1% at 5 years, 93.6% at 10 years, and 89.2% at 15 years) and a low dislocation rate (1.9%) after bipolar HA for displaced femoral neck fractures in elderly patients. However, high death rates (14%-47% [9,11,31]) and postoperative complication rates (32%-87% [11,31]) have been reported after surgically treating patients who had neuromuscular disease, particularly after the treatment of fractures about the hip [3,9,10,12]. Some studies suggest these patients have high rates of dislocation ranging from 10.6% to 45% [9,25,31], and decubitus ulcers ranging from 6% to 49% [9,25,31].…”

Section: Introductionmentioning

confidence: 99%

Is the Dislocation Rate Higher after Bipolar Hemiarthroplasty in Patients with Neuromuscular Diseases?

Suh

Kim

Lee

et al. 2012

Clinical Orthopaedics &Amp; Related Research

View full text Add to dashboard Cite

Background Patients with neuromuscular disease reportedly have a higher incidence of postoperative dislocation after bipolar hemiarthroplasty. Although the literature has focused on a high prevalence of preoperative neurologic conditions in patients who had dislocations after bipolar hemiarthroplasties, the relative incidence of dislocation in patients with neuromuscular disease and without is unclear. Questions/purposes We therefore (1) asked whether the incidence of postoperative dislocation after bipolar hemiarthroplasty was greater in patients with neuromuscular disease than for those without, and (2) whether function differed between the two groups, and (3) explored potential risk factors for dislocation in two groups.

show abstract

“…Coughlin and Templeton [6] reported a 47% mortality rate at 6 months in their series of 47 patients. It was postulated that the high mortality rate seen in that series [6] was the result of a lack of emphasis on early postoperative mobility [9]. Since that time, the generally accepted postoperative protocol, pathway, or paradigm has shifted toward early mobilization after hip fracture surgery [30].…”

Section: Discussionmentioning

confidence: 99%