scholarly journals The dual mobility hip arthroplasty for hip fracture in Parkinson’s disease

2020 ◽  
pp. 032-035
Author(s):  
Bassiony Ayman Abdelaziz ◽  
Gameel Saleh
Keyword(s):  
Parkinson’S Disease ◽  
Parkinson's Disease ◽  
Hip Fracture ◽  
Hip Arthroplasty ◽  
Dual Mobility

scholarly journals The Outcomes of Total Hip Replacement in Patients with Parkinson’s Disease: Comparison of the Elective and Hip Fracture Groups

2017 ◽  
Vol 2017 ◽  
pp. 1-7 ◽  
Author(s):  
Pavel Šponer ◽  
Tomáš Kučera ◽  
Michal Grinac ◽  
Aleš Bezrouk ◽  
Daniel Waciakowski
Keyword(s):  
Parkinson’S Disease ◽  
Parkinson's Disease ◽  
Hip Fracture ◽  
Total Hip Arthroplasty ◽  
Hip Arthroplasty ◽  
Walking Ability ◽  
Fracture Group ◽  
Total Hip ◽  
Elective Group

Introduction. The aim of the study was to compare the clinical outcomes following elective and traumatic total hip arthroplasty in Parkinson’s disease patients. Materials and Methods. Ten patients with osteoarthritis comprise the elective group (mean age at operation 74 years; mean follow-up 82 months). Thirteen patients with femoral fracture comprise the hip fracture group (mean age 76 years; mean follow-up 54 months). All patients were followed up at 6 and 36 months postoperatively and at the time of the latest follow-up. Results. Despite the significant improvement in Merle d’Aubigné-Postel and pain scores, disability related to Parkinson’s disease increased during the follow-up. Whereas more than 1/3 of hip fracture patients and all elective patients walked independently at 36 months after total hip arthroplasty, 43% of living patients from both groups were able to walk independently at the time of the latest follow-up. The medical complications were seen mainly in patients with hip fracture. Conclusions. Excellent pain relief with preserved walking ability without support of another person and acceptable complication profile was observed in Parkinson’s disease patients at 36 months after elective total hip arthroplasty. This procedure may be indicated in Parkinson’s disease patients after careful and individualized planning.

Impact of Parkinson’s disease on the acute care treatment and medium-term functional outcome in geriatric hip fracture patients

2015 ◽  
Vol 135 (11) ◽  
pp. 1519-1526 ◽  
Author(s):  
Christopher Bliemel ◽  
Ludwig Oberkircher ◽  
Daphne-Asimenia Eschbach ◽  
Philipp Lechler ◽  
Monika Balzer-Geldsetzer ◽  
...  
Keyword(s):  
Parkinson’S Disease ◽  
Parkinson's Disease ◽  
Hip Fracture ◽  
Functional Outcome ◽  
Acute Care ◽  
Medium Term ◽  
Care Treatment ◽  
Geriatric Hip Fracture

scholarly journals Hip fracture outcomes in patients with Parkinson’s disease

2017 ◽  
Vol 17 (Suppl 3) ◽  
pp. s20-s20
Author(s):  
Radcliffe Lisk ◽  
Hazel Watters ◽  
Keefai Yeong
Keyword(s):  
Parkinson’S Disease ◽  
Parkinson's Disease ◽  
Hip Fracture

scholarly journals Risk factors and functional outcomes of surgical treatment of fall-related hip fractures in patients with Parkinson’s disease

2020 ◽  
Vol 10 (2) ◽  
pp. 70-76
Author(s):  
Bougiouklis Dimitrios ◽  
Psichogyios N Vasileios, ◽  
Plessas Spyridon ◽  
Konstas Athanasios ◽  
Louverdis ionysios
Keyword(s):  
Risk Factors ◽  
Parkinson’S Disease ◽  
Parkinson's Disease ◽  
Hip Fracture ◽  
Functional Outcome ◽  
Barthel Index ◽  
Functional Result ◽  
The Mean ◽  
Risk Of Fall

urpose: One of the cardinal symptoms of Parkinson’s disease (PD) is represented by postural instability and disturbed balance which can cause frequent falls in these patients. Indeed, the increased risk of falling in combination with osteoporosis puts PD patients at high risk for hip osteoporotic fractures. This study was aimed to evaluate the potential risk factors associated with fall-related hip fracture in individual with PD and 2) to determine the impact of the disease on the perioperative course and functional outcome of these fractures. Materials and methods: From 2005 to 2016, 209 patients (98 males and 111 females, aged >65 years) with a definitive diagnosis of idiopathic parkinsonism were enrolled in this multicenter retrospective study. From these patients, 123 sustained falling, while 86 did not. From the patients who sustained a fall, 41 patients sustained a hip fracture and were surgically treated with either internal fixation or hip hemiarthroplasty. The recorded clinical features were age, disease duration, falls, and type fracture. The risk of fall was assessed by Morse fall scale. According to the scores of the Unified Parkinson’s Disease Rating Scale (UPDRS) and the Hoehn and Yahr staging(H&Y) we graded the PD severity. Osteoporosis was diagnosed using bone mineral density (BMD). The pre-fracture Barthel Index (BI) and Timed Up and Go test (TUG) were used to assess the functional status. In order to compare parameters that determine the functional result, was included a reference group of 40, sex- and age-matched, patients. This group comprised of individuals without intake of anti-parkinson medication. The perioperative complications and the in-hospital mortality were both reported. Results: The mean follow-up was 24-months. In this study, the percentage of falls was 58.8%, while the percentage of osteoporosis between patients with and without falls were respectively 33.3% (42/123) and 15.4% (13/86). 74 patients had fall-related fractures. Statistical analysis of the clinical manifestations and functional score findings between the PD patients with fall-related fractures and PD patients without fracture, revealed that sex (p = 0.001), mean Morse fall scale (p < 0.0001) and Hoehn and Yahr stage (p = 0.009) were significant variables. Regarding the functional outcome, no significant differences were observed between the groups [BI (p = 0.21) and TUG (p = 0.89)]. At the final follow-up, in patients with PD who were surgically treated for a fall-related hip fracture compare to patients without PD, the functional outcome was reduced according to Barthel Index (p = 0.001). Urinary tract infection was the more frequent perioperative complication. Post-operative pneumonia is another frequent complication, occurred in 5.5% of our series. 8 of 41 patients developed a pressure sore, while 1 patient with femoral neck fracture suffered a dislocation and underwent revision surgery. The mean length of hospital stay for Parkinson’s disease patients was 14 days, while patients without PD were staying 9 days.The in-hospital mortality rate for all patients was 4.3 %. Conclusions: Female sex, and advanced stage of PD and a higher mean Morse fall scale are associated with higher risk of fall-related hip fractures. Patients with PD who suffered a hip fracture are inclined to a longer hospital stay and a higher risk of complications. However, Parkinson’s disease does not represent a risk factor for a higher mortality or an inferior functional result, but in these patients, after 2-years follow-up, the functional outcome was reduced according to Barthel Index.

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

2020 ◽  
Vol 4 (03) ◽  
pp. 149-154
Author(s):  
Simon Katz ◽  
Kevin B. Marchand ◽  
Rushabh M. Vakharia ◽  
Hiba Anis ◽  
Nipun Sodhi ◽  
...  
Keyword(s):  
Parkinson’S Disease ◽  
Parkinson's Disease ◽  
Total Hip Arthroplasty ◽  
Hip Arthroplasty ◽  
Medical Complications ◽  
Administrative Claims ◽  
Matched Cohort ◽  
Readmission Rates ◽  
Total Hip ◽  
Costs Of Care

AbstractStudies investigating the impact of Parkinson's disease (PD) on patients undergoing primary total hip arthroplasty (THA) are limited. Therefore, the purpose of this study was to investigate whether PD patients undergoing primary THA are at increased risk of: (1) medical complications; (2) implant-related complications; (3) readmissions; and (4) costs. A query was performed using an administrative claims database. Matched non-PD patients undergoing primary THA served as a control group. Non-PD patients undergoing primary THA served as a matching cohort. The query yielded 39,184 patients (PD = 9,796; control = 29,388). Pearson's chi-square tests, logistic regression analyses, and Welch's t-tests were used to test for significance between the cohorts. Patients who have PD were found to have increased odds (4.64 vs. 1.15%; odds ratio [OR]: 4.19, 95% confidence interval [CI]: 3.60–4.87, p < 0.0001) of medical complications compared with the matched cohort. PD patients had greater odds of implant-related complications (7.12 vs. 3.99; OR: 1.84, p < 0.0001). PD patients also had significantly higher odds of 90-day readmission (19.83 vs. 15.29%; OR: 1.37, 95% CI: 1.29–1.45, p < 0.0001) and incurred greater 90-day costs of care ($20,143 vs. $16,905, p < 0.0001). The results of the study demonstrate that PD is an independent risk factor for medical complications, implant-related complications, readmission rates, and increased costs of care following a primary THA. The findings of this study should be used in risk stratification and should inform physician–patient discussion but should not be arbitrarily used to deny access to care.

Risk factors for hip fracture among elderly patients with Parkinson’s disease

2001 ◽  
Vol 182 (2) ◽  
pp. 89-93 ◽  
Author(s):  
Yoshihiro Sato ◽  
Masahide Kaji ◽  
Toshiomi Tsuru ◽  
Kotaro Oizumi
Keyword(s):  
Risk Factors ◽  
Parkinson’S Disease ◽  
Parkinson's Disease ◽  
Hip Fracture ◽  
Elderly Patients
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