Effect of Parkinson’s disease on hemiarthroplasty outcomes after femoral neck fractures
Journal of Arthroplasty Jul 24, 2019
Hsiue PP, et al. - Via a retrospective review that used the Nationwide Readmissions Database of subjects who underwent hemiarthroplasty (HA) for femoral neck fractures (FNFs) between 2010-2014, the researchers assessed the outcomes post-HA for FNFs in subjects with 7,721 Parkinson’s disease (PD) vs subjects without PD. No variation in the risk of death or any postoperative complications during index hospitalization for PD subjects could be discovered. Though, within 90 days of surgery, PD subjects had an increased risk of hospital readmission and postoperative dislocation. Regardless of no variation in the risk of any revision surgery, revision surgery for fracture, or revision surgery for an infection, PD subjects also had an increased risk of revision surgery for instability. Therefore, within 90 days, PD subjects who underwent an HA for FNF had a greater risk of postoperative dislocation and revision surgery for instability. Moreover, while managing these at-risk subjects, these conclusions were not only important to consider however, they also stressed the necessity to allocate operative and postoperative resources in order to prevent and treat instability.
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