J Korean Fract Soc.  2005 Apr;18(2):126-130. 10.12671/jkfs.2005.18.2.126.

Bipolar Hemiarthroplasty of Displaced Femoral Neck Fractures in Pakinsonism Patients

• Yoon HK
• Kim BK
• Shin DE
• Song SJ
• Park HK
• Chang JH

• KMID: 2035977
• DOI: http://doi.org/10.12671/jkfs.2005.18.2.126

Abstract

PURPOSE: To evaluate clinical outcome and functional result after cemented bipolar hemiarthroplasty of displaced neck fracture in parkinsonism patients.
MATERIALS AND METHODS
12 parkinsonism patients treated by cemented bipolar hemiarthroplasty of displaced femur neck fracture from August 1994 to October 2002 were evaluated. Posterolateral approach was performed. Preoperative and postoperative walking ability, activity of daily life and severity of parkinsonism were compared. The effects of parkinsonism on clinical outcome were analyzed retrospectively.
RESULTS
The median difference of walking ability was 1 (p=0.001) and that of ADL scale was -3 (p=0.0005). There was no significant change in the severity of parkinsonism (p=0.5), and the severity and duration of parkinsonism were not correlated with postoperative functional status. 7 cases of voiding difficulty, 5 of temporary delirium, and 2 of temporary respiratory insufficiency were noted as general complications. 2 cases of dislocation and 1 of infection were noted as orthopaedic complications.
CONCLUSION
In parkinsonism patient, walking ability was worsened, activity was more independent, but severity of parkinsonism was not changed after hemiarthroplasty of displaced femur neck fracture. Orthopaedic surgeons should bear in mind that functional outcome is poor and orthopaedic complication rate high in parkinsonism.

Keyword

Femur; Neck fracture; Parkinsonism; Bipolar hemiarthroplasty

MeSH Terms

Activities of Daily Living
Delirium
Dislocations
Femoral Neck Fractures*
Femur
Femur Neck*
Hemiarthroplasty*
Humans
Neck
Parkinsonian Disorders
Respiratory Insufficiency
Retrospective Studies
Walking