Incidence of perioperative complications in total hip and knee arthroplasty in patients with Parkinson disease

Sharma T, Hönle W, Handschu R, Adler W, Goyal T, Schuh A (2018)

Publication Type: Journal article

Publication year: 2018

Journal

Archives of Orthopaedic and Trauma Surgery Springer Verlag (Germany)

Book Volume: 138

Pages Range: 765-770

Journal Issue: 6

DOI: 10.1007/s00402-018-2899-8

Abstract

INTRODUCTION: The aim of this study is to evaluate the difference in perioperative complication rate in total hip, bipolar hemiarthroplasties and total knee arthroplasty in patients with Parkinson disease in trauma and elective surgery in our Musculoskeletal Center during a period of 10 years. MATERIAL AND METHOD: Between 2006 and 2016, 45 bipolar hemiarthroplasties in trauma surgery, 15 total knee and 19 total hip arthroplasties in patients with Parkinson's disease were performed. We divided the patients in two groups. Group I included trauma cases (45) and group II elective surgery cases (34). Complications were documented and divided into local minor and major complications and general minor and major complications. Fisher's exact test was used for statistical evaluation. RESULTS: In both groups, there was one local major complication (p > 0.05): In group I, there was one case of loosening of a K-wire which was removed operatively. In group II, there was one severe intraarticular bleeding requiring puncture of the hematoma. In group I, there were 38 general complications; in group II, there were 17 general complications. There was no statistical difference in complication rate (p > 0.05). CONCLUSION: Total hip arthroplasty, bipolar hemiarthroplasties and knee arthroplasty in patients with Parkinson disease is possible in elective and trauma surgery. Complication rate is higher in comparison with patients not suffering from Parkinson disease, but there is no difference in complication rate in elective and trauma surgery. Nevertheless, early perioperative neurological consultation in patients with Parkinson disease is recommended to minimize complications and improve early outcomes after arthroplasty.

Authors with CRIS profile

Tankamani Sharma Medizinische Fakultät Werner Adler Lehrstuhl für Biometrie und Epidemiologie Alexander Schuh Medizinische Fakultät

Involved external institutions

Kliniken des Landkreises Neumarkt i.d.OPf. DE Germany (DE) All India Institute of Medical Sciences IN India (IN)

How to cite

APA:

Sharma, T., Hönle, W., Handschu, R., Adler, W., Goyal, T., & Schuh, A. (2018). Incidence of perioperative complications in total hip and knee arthroplasty in patients with Parkinson disease. Archives of Orthopaedic and Trauma Surgery, 138(6), 765-770. https://dx.doi.org/10.1007/s00402-018-2899-8

MLA:

Sharma, Tankamani, et al. "Incidence of perioperative complications in total hip and knee arthroplasty in patients with Parkinson disease." Archives of Orthopaedic and Trauma Surgery 138.6 (2018): 765-770.

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