The Outcomes of Total Hip Replacement in Patients with Parkinson’s Disease: Comparison of the Elective and Hip Fracture Groups
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 mont...
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| Format: | Article |
| Language: | English |
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Wiley
2017-01-01
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| Series: | Parkinson's Disease |
| Online Access: | http://dx.doi.org/10.1155/2017/1597463 |
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| author | Pavel Šponer Tomáš Kučera Michal Grinac Aleš Bezrouk Daniel Waciakowski |
| author_facet | Pavel Šponer Tomáš Kučera Michal Grinac Aleš Bezrouk Daniel Waciakowski |
| author_sort | Pavel Šponer |
| collection | DOAJ |
| description | 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. |
| format | Article |
| id | doaj-art-b70f6e673912458baa558b3f03a9f055 |
| institution | Kabale University |
| issn | 2090-8083 2042-0080 |
| language | English |
| publishDate | 2017-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Parkinson's Disease |
| spelling | doaj-art-b70f6e673912458baa558b3f03a9f0552025-02-03T06:07:32ZengWileyParkinson's Disease2090-80832042-00802017-01-01201710.1155/2017/15974631597463The Outcomes of Total Hip Replacement in Patients with Parkinson’s Disease: Comparison of the Elective and Hip Fracture GroupsPavel Šponer0Tomáš Kučera1Michal Grinac2Aleš Bezrouk3Daniel Waciakowski4Department of Orthopaedic Surgery, Charles University in Prague, Faculty of Medicine in Hradec Králové, Šimkova 870, 500 38 Hradec Králové, Czech RepublicDepartment of Orthopaedic Surgery, Charles University in Prague, Faculty of Medicine in Hradec Králové, Šimkova 870, 500 38 Hradec Králové, Czech RepublicDepartment of Orthopaedic Surgery, Charles University in Prague, Faculty of Medicine in Hradec Králové, Šimkova 870, 500 38 Hradec Králové, Czech RepublicDepartment of Medical Biophysics, Charles University in Prague, Faculty of Medicine in Hradec Králové, Šimkova 870, 500 38 Hradec Králové, Czech RepublicDepartment of Orthopaedics and Traumatology, Kreiskrankenhaus Greiz GmbH, Wichmannstraße 12, 07973 Greiz, GermanyIntroduction. 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.http://dx.doi.org/10.1155/2017/1597463 |
| spellingShingle | Pavel Šponer Tomáš Kučera Michal Grinac Aleš Bezrouk Daniel Waciakowski The Outcomes of Total Hip Replacement in Patients with Parkinson’s Disease: Comparison of the Elective and Hip Fracture Groups Parkinson's Disease |
| title | The Outcomes of Total Hip Replacement in Patients with Parkinson’s Disease: Comparison of the Elective and Hip Fracture Groups |
| title_full | The Outcomes of Total Hip Replacement in Patients with Parkinson’s Disease: Comparison of the Elective and Hip Fracture Groups |
| title_fullStr | The Outcomes of Total Hip Replacement in Patients with Parkinson’s Disease: Comparison of the Elective and Hip Fracture Groups |
| title_full_unstemmed | The Outcomes of Total Hip Replacement in Patients with Parkinson’s Disease: Comparison of the Elective and Hip Fracture Groups |
| title_short | The Outcomes of Total Hip Replacement in Patients with Parkinson’s Disease: Comparison of the Elective and Hip Fracture Groups |
| title_sort | outcomes of total hip replacement in patients with parkinson s disease comparison of the elective and hip fracture groups |
| url | http://dx.doi.org/10.1155/2017/1597463 |
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