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

  • Orthopaedic Surgery
  • Published:
Archives of Orthopaedic and Trauma Surgery Aims and scope Submit manuscript

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.

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Funding

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Authors and Affiliations

  1. University of Erlangen-Nuremberg, Erlangen, Germany

    Tankamani Sharma

  2. Musculoskeletal Center Neumarkt, Neumarkt Hospital, Teaching Hospital of the University of Erlangen-Nurenberg, Nürnberger Str. 12, Neumarkt i.d. OPf, 92318, Erlangen, Germany

    Tankamani Sharma, Wolfgang Hönle & Alexander Schuh

  3. Department of Neurology, Neumarkt Hospital, Erlangen, Germany

    René Handschu

  4. Department of Medical Informatics, Biometry and Epidemiology, University of Erlangen/Nürnberg, Erlangen, Germany

    Werner Adler

  5. Department of Orthopaedics, All India Institute of Medical Sciences, Rishikesh, India

    Tarun Goyal

Authors
  1. Tankamani Sharma
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  2. Wolfgang Hönle
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  3. René Handschu
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  4. Werner Adler
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  5. Tarun Goyal
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  6. Alexander Schuh
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Corresponding author

Correspondence to Alexander Schuh.

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The authors declare that they have no conflict of interest.

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

Additional information

The present work was performed in fulfillment of the requirement for obtaining the degree “Dr. med”.

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Sharma, T., Hönle, W., Handschu, R. et al. Incidence of perioperative complications in total hip and knee arthroplasty in patients with Parkinson disease. Arch Orthop Trauma Surg 138, 765–770 (2018). https://doi.org/10.1007/s00402-018-2899-8

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  • DOI: https://doi.org/10.1007/s00402-018-2899-8

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