Bipolar Hemiarthroplasty of Displaced Femoral Neck Fractures in Pakinsonism Patients
Journal of the Korean Fracture Society
; : 126-130, 2005.
Artigo
em Coreano
| WPRIM (Pacífico Ocidental)
| ID: wpr-85787
Biblioteca responsável:
WPRO
ABSTRACT
PURPOSE:
To evaluate clinical outcome and functional result after cemented bipolar hemiarthroplasty of displaced neck fracture in parkinsonism patients. MATERIALS ANDMETHODS:
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.
Texto completo:
Disponível
Base de dados:
WPRIM (Pacífico Ocidental)
Assunto principal:
Insuficiência Respiratória
/
Atividades Cotidianas
/
Estudos Retrospectivos
/
Caminhada
/
Transtornos Parkinsonianos
/
Delírio
/
Luxações Articulares
/
Fraturas do Colo Femoral
/
Fêmur
/
Colo do Fêmur
Tipo de estudo:
Estudo observacional
Limite:
Humanos
Idioma:
Coreano
Revista:
Journal of the Korean Fracture Society
Ano de publicação:
2005
Tipo de documento:
Artigo