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Journal of Bone and Joint Surgery, 1972;54:1251-1254.
© 1972 by The Journal of Bone and Joint Surgery, Inc

Treatment of Hip Fractures in Patients with Parkinson's Syndrome on Levodopa Therapy

JOEL E. ROTHERMEL M.D.1 and ALEXANDER GARCIA M.D.1

1 From The New York Orthopaedic Hospital and The Presbyterian Hospital, Columbia-Presbyterian Medical Center, New York

1. There is substantial evidence that continued administration of levodopa is the most effective treatment for reversing the symptoms of Parkinson's syndrome.

2. There were sixteen fractured hips among 550 patients receiving levodopa during a thirty-six month period of clinical drug investigation. Because of beneficial effects of levodopa therapy, fracture management may be the same as for the average elderly patient who does not have neurological disease.

3. Complications were fewer and prognosis better in patients taking levodopa than in those we treated prior to the use of this drug.

4. In patients on levodopa, the indications for replacement prostheses are the same as for normal elderly patients.


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