Outcomes of Primary Total Knee Arthroplasty in Patients With Parkinson's Disease

Wong, Eugene; Oh, Lawrence; Parker, David

doi:10.1016/j.arth.2018.02.028

Cited by 18 publications

(22 citation statements)

References 14 publications

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“…Wong et al have reported that PD patients had no poorer functional outcomes than the control group patients ( 7 ). This study compared the outcomes of TKA in patients with PD (43 knees and 35 patients) and without PD (50 knees and 41patients).…”

Section: The Impact Of Pd On Results Of Primary Tkamentioning

confidence: 99%

“…The conclusion of this study was that PD had no poorer functional outcomes than the control group. Therefore, Wong et al stated that PD disease was not an absolute contraindication for TKA ( 7 ). We are of the opinion that PD should not be an absolute contraindication for TKA implantation, but it should also be noted that most authors have found greater complications and poorer long-term outcome rates than in matched cohorts (MCs).…”

Section: The Impact Of Pd On Results Of Primary Tkamentioning

confidence: 99%

“…Wong et al have claimed that PD patients have no more complications than the control group patients ( 7 ). In a comparative study, the PD group of patients had no more complications than the control group patients ( 7 ).…”

Section: Postoperative Complications Of Primary Tka In Patients With Pdmentioning

confidence: 99%

“…Total knee arthroplasty (TKA) is a technique that offers excellent results in patients with degenerative OA of the knee ( 4 , 5 , 6 ). However, there is very little information on the potential benefit of TKA in patients with PD and knee OA ( 7 ).…”

Section: Introductionmentioning

confidence: 99%

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The impact of Parkinson’s disease on results of primary total knee arthroplasty

Rodríguez-Merchán

Kalbakdij-Sánchez²

2022

EFORT Open Reviews

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Parkinson’s disease (PD) is a common neurodegenerative disorder. When patients with PD undergo total knee arthroplasty (TKA) for knee osteoarthritis, poorer knee function and poorer quality of life are obtained than in matched cohorts (MCs). However, the degree of patient satisfaction is usually high. The mean length of stay is 6.5% longer in patients with PD than in MCs. Compared with MCs, patients with PD undergoing TKA have a 44% higher risk of complications. In patients with PD, the overall complication rate is 26.3% compared with 10.5% in MCs; the periprosthetic joint infection rate is 6.5% in patients with PD vs 1.7% in MCs; and the periprosthetic fracture rate is 2.1% in patients with PD vs 1.7% in MCs. The 90-day readmission rate is 16.29% in patients with PD vs 12.66% in MCs. More flexion contractures occur in patients with PD. The rate of medical complications is 4.21% in patients with PD vs 1.24% in MCs, and the rate of implant-related complications is 5.09% in patients with PD vs 3.15% in MCs. At 5.3 years’ mean follow-up, the need for revision surgery is 23.6%. The 10-year implant survival, taking revision of any of the components as an endpoint, is 89.7% in patients with PD vs 98.3% in MCs.

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Section: The Impact Of Pd On Results Of Primary Tkamentioning

confidence: 99%

Section: The Impact Of Pd On Results Of Primary Tkamentioning

confidence: 99%

Section: Postoperative Complications Of Primary Tka In Patients With Pdmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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The impact of Parkinson’s disease on results of primary total knee arthroplasty

Rodríguez-Merchán

Kalbakdij-Sánchez²

2022

EFORT Open Reviews

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“…Total knee arthroplasty (TKA) is a successful operation to alleviate pain and improve function for patients with advanced arthritis of the knee [1]. The safety of TKA has been improved based on the recent advances in anesthesia, perioperative health care, and surgical techniques, especially for older patients [2]. Moreover, most of the literature on patients 80 years of age and older was published in relation to Western populations.…”

Section: Introductionmentioning

confidence: 99%

Total Knee Arthroplasty Outcome for 129 Knees 80 Years and Older in Chinese Population

Jia

Zhao

Wu³

et al. 2021

Preprint

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BackgroundSince China is aging rapidly, it is necessary to evaluate the reliability, durability, and satisfaction of total knee arthroplasty (TKA) among patients over 80 years.MethodsBetween February 2009 and December 2017, 98 patients (129 knees) met the inclusion criteria and were postoperatively followed-up ≥ 3 years. TKAs included 67 unilateral TKAs and 31 bilateral TKAs. The indexes included operative time, intraoperative blood loss, tourniquet time, Knee Society Score (KSS), Visual Analogue Scale (VAS), Range of Motion (ROM), “Forgotten Joint” Scale (FJS), crutches usage and patients’ satisfaction.ResultsKSS clinical and functional scores improved significantly from preoperative mean of 33 and 27 to latest follow-up of 87 and 51, respectively (p <0.05). The VAS decreased significantly from preoperative mean scores of 8 to latest follow-up of 0 (p <0.05). The proportion of patients without crutches at last follow-up was 52%, satisfaction rate was 94% and FJS ≥ 50 was 85%. However, ROM did not improve significantly from preoperative mean 89° to latest follow-up 93° (p >0.05). The preoperative hemoglobin and survival proportions between bilateral and unilateral TKAs were not statistically different (p >0.05).ConclusionTKA was reliable, durable, and satisfied in patients older than 80 years in Chinese population.

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