@article{ref1,
title="Parkinson's disease and hip fractures: are complications and mortality rates increased?",
journal="European journal of orthopaedic surgery and traumatology",
year="2020",
author="Müller, Franz and Doblinger, Matthias and Füchtmeier, Bernd",
volume="ePub",
number="ePub",
pages="ePub-ePub",
abstract="PURPOSE: The aim of this study was to assess patients with Parkinson's disease (PD) in comparison with patients without PD for the treatment of hip fractures. Therefore, we performed a mono-centre study including 145 patients with PD and 2135 consecutive patients without PD as a concurrent group (C). <br><br>METHODS: For analysis, we used our database, in which any type of hip fracture was enrolled. The study period ranged from 2007 to 2017, and the patient age was ≥ 60 years. Overall, 10 variables were included. The primary measures were operations for any reason, infection, dislocation, failure, and mortality. The secondary outcome was any de novo fracture based on a new fall. The follow-up period for every living patient was 2 years after the operation. Any missing data were retrospectively evaluated via telephone. The hypothesis was no effect between the two groups. <br><br>RESULTS: No significant differences were observed regarding revision (p = 0.348), infection (p = 0.207), dislocation (p = 0.785), failure of internal fixation (p = 0.368), failure of replacement (p = 0.174), and de novo fractures (p = 0.287). However, patients with PD sustained a contralateral hip fracture significantly more often (p < 0.001). Kaplan-Meier survival analysis demonstrated no effects up to 2 years after the operation (log rank 0.259). <br><br>CONCLUSION: Compared to a concurrent group, patients with PD demonstrated no more complications and similar mortality rates within 2 years after surgery. The rate of dislocation after hip replacement was also not increased. A contralateral hip fracture was the most common de novo fracture in PD. Further studies should investigate measures reducing the risk for any new falls in PD.<p /> <p>Language: en</p>",
language="en",
issn="1633-8065",
doi="10.1007/s00590-020-02674-7",
url="http://dx.doi.org/10.1007/s00590-020-02674-7"
}