The Journal of Bone and Joint Surgery, Vol 70, Issue 4 565-568, Copyright © 1988 by Journal of Bone and Joint Surgery, Inc
Prosthetic replacement of the femoral head for fracture of the femoral neck in patients who have Parkinson disease
JW Staeheli, FJ Frassica and FH Sim
Department of Orthopedics, Mayo Clinic, Rochester, Minnesota 55905.
A retrospective study was performed of forty-nine patients (fifty fractures
of the femoral neck) who had Parkinson disease and who had had an
endoprosthetic replacement of the femoral head. The average age of the
patients was seventy-four years (range, forty-seven to ninety-two years).
All of the fractures were Garden Stage III or IV. An anterolateral surgical
approach was used in twenty-five hips; a posterior approach, in twenty
hips; and a transtrochanteric approach, in five hips. An adductor tenotomy
was required in five patients to release an adduction contracture. Ten
patients died by the sixth postoperative month. The remaining thirty-nine
patients were followed for a minimum of two years (average, 7.3 years).
Common postoperative complications were infection of the urinary tract (20
per cent) and pneumonia (10 per cent). There was only one dislocation. At
the time of writing, nineteen (80 per cent) of the surviving patients could
walk.
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