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Archives of Orthopaedic and Trauma Surgery

, Volume 138, Issue 6, pp 765–770 | Cite as

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

  • Tankamani Sharma
  • Wolfgang Hönle
  • René Handschu
  • Werner Adler
  • Tarun Goyal
  • Alexander Schuh
Orthopaedic Surgery
  • 199 Downloads

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.

Keywords

Total knee arthroplasty Total hip arthroplasty Parkinson disease Complication Trauma surgery 

Notes

Funding

None.

Compliance with ethical standards

Conflict of interest

The authors declare that they have no conflict of interest.

Ethical approval

This article does not contain any studies with human participants or animals performed by any of the authors.

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Copyright information

© Springer-Verlag GmbH Germany, part of Springer Nature 2018

Authors and Affiliations

  • Tankamani Sharma
    • 1
    • 2
  • Wolfgang Hönle
    • 2
  • René Handschu
    • 3
  • Werner Adler
    • 4
  • Tarun Goyal
    • 5
  • Alexander Schuh
    • 2
  1. 1.University of Erlangen-NurembergErlangenGermany
  2. 2.Musculoskeletal Center Neumarkt, Neumarkt HospitalTeaching Hospital of the University of Erlangen-NurenbergErlangenGermany
  3. 3.Department of NeurologyNeumarkt HospitalErlangenGermany
  4. 4.Department of Medical Informatics, Biometry and EpidemiologyUniversity of Erlangen/NürnbergErlangenGermany
  5. 5.Department of OrthopaedicsAll India Institute of Medical SciencesRishikeshIndia

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