Mortality and Revision Surgery Are Increased in Patients With Parkinson’s Disease and Fractures of the Femoral Neck

• DOI: 10.1007/s11999-015-4262-5
• Publication Date: 2015-03-23T14:17:25Z
• Authors: Mark S. Karadsheh; Michael Weaver; Kenneth Rodriguez; Mitchel Harris; David Zurakowski; Robert Lucas
• Keywords: Aged, 80 and over; Male; Reoperation; Postoperative Complications; Risk Factors; Case-Control Studies; Humans; Female; Parkinson Disease; Femoral Neck Fractures; Retrospective Studies; 3. Good health

Patients with Parkinson's disease are at increased risk for falls and associated hip fractures as a result of tremor, bradykinesia, rigidity, postural instability. The available literature is limited conflicting regarding the optimal surgical treatment postoperative complications mortality in this unique patient population. We asked: (1) Is there difference after patients compared similar without disease? (2) Does lead to higher rate reoperation operative femoral neck fractures? (3) dislocation hemiarthroplasty displaced fractures, (4) does approach affect rates? In case-controlled study, we retrospectively reviewed 141 diagnosis fracture neck. Each was matched two control (n = 282) stratified by age, sex, American Society Anesthesiologists classification, type (nondisplaced/displaced). Clinical outcomes included intervention, reoperation, events hemiarthroplasty, failure internal fixation nondisplaced fractures. median survival time 31 months (95% CI, 25–37 months) 45 39–50 our group (p 0.007). (11% versus 4%; p 0.005). Failure treated significantly (22% 5%; 0.01). Dislocation rates were (8% 1%; 0.003). through an anterolateral had lower those posterior (2% 15%; 0.002). independent predictor dislocation, revision surgery, fixation. Although or valgus impacted may be fixation, they disease. Use reduce likelihood requiring operation. Level III, therapeutic study.