scholarly journals Prótesis total de rodilla en pacientes con enfermedad de Parkinson. Resultados preliminares

10.15417/224 ◽  
2014 ◽  
Vol 79 (2) ◽  
pp. 99
Author(s):  
Juan P. Bonifacio ◽  
Matías Costa Paz ◽  
Lisandro Carbo ◽  
Carlos Yacuzzi ◽  
Emilio Corinaldesi
Keyword(s):  
Parkinson’S Disease ◽  
Parkinson's Disease ◽  
Total Knee Arthroplasty ◽  
Visual Analogue Scale ◽  
Knee Arthroplasty ◽  
Analogue Scale ◽  
Neurodegenerative Disorder ◽  
Title Page ◽  
Yahr Scale ◽  
Total Knee

<div class="page" title="Page 1"><div class="layoutArea"><div class="column"><p><strong>In­tro­duc­ción: </strong><span>La enfermedad de Parkinson es un trastorno neurodegenerativo progresivo y crónico, con una incidencia aproximada de 31/100.000 habitantes en la Argentina. El objetivo de este estudio fue analizar un grupo de pacientes con enfermedad de Parkinson sometidos a artroplastia total de rodilla.</span></p><p><span><strong>Materiales­ y ­Métodos:</strong>­ </span><span>Entre 2009 y 2011, se evaluó a 11 pacientes (edad promedio 68 años, rango 65-80) con enfermedad de Parkinson que fueron operados por artrosis de rodilla con prótesis cementadas estabilizadas a posteriori. Todos fueron evaluados con la escala analógica visual para el dolor, el Knee Society Scoring, el WOMAC y el grado de satisfacción subjetiva. El grado de afectación de la enfermedad de Parkinson se determinó con la escala modificada de Hoehn y Yahr. Se registraron las complicaciones.</span></p><p><span><strong>Resultados:</strong> </span><span>El seguimiento promedio fue de 2 años (rango 1-3). Las evaluaciones para dolor y funcionales arrojaron los siguientes resultados: la escala analógica visual para el dolor mejoró 3 puntos promedio; KSS dolor 37/74; KSS funcional 36/51, WOMAC 67/31. El grado de satisfacción de los pacientes fue de bueno a excelente en 7 casos. La escala modificada de Hoehn y Yahr fue de 1,5 puntos en el preoperatorio y de 2,6 puntos en el posoperatorio. Hubo 6 complicaciones: dos síndromes confusionales, una trombosis venosa profunda, una luxación protésica y dos prótesis dolorosas.</span></p><p><span><strong>Conclusión:­</strong> </span><span>La artroplastia total de rodilla en pacientes con enfermedad de Parkinson es un procedimiento que mejora los resultados funcionales y el dolor, pero provoca mayores complicaciones que en la población general. </span></p><div class="page" title="Page 1"><div class="layoutArea"><div class="column"><p><strong>Total ­knee­ arthroplasty­ in­ Parkinson’s ­disease­ patients. Preliminary results </strong></p><p><span><strong>Abstract</strong><br /> <strong>Background: </strong></span><span>Parkinson’s disease is a progressive, chronic, neurodegenerative disorder with an approximate incidence of 31/100,000 persons in Argentina.<br /> The aim of this study was to assess a group of patients with Parkinson’s disease who underwent total knee ar</span>throplasty.</p><p><strong>Methods:­</strong> Between 2009 and 2011, 11 patients with Parkinson’s disease (average age 68 years, range 65-80) who underwent cemented posterior stabilized total knee arthroplasty for osteoarthritis were retrospectively reviewed. All patients were evaluated with a visual analogue scale for pain, the Knee Society Scoring, the WOMAC and the degree of subjective satisfaction. Degree of Par- kinson severity was measured with the Modified Hoehn and Yahr Scale. Complications were recorded.</p><p><strong>Results:</strong> The average follow-up was two years (range 1-3). Results for pain and function were: visual analogue scale for pain improved an average of 3 points; KSS pain 37/74; functional KSS 36/51, WOMAC 67/31. Satisfaction was good to excellent in 7 cases. The Modified Hoehn and Yahr Scale was 1.5 points preoperatively and 2.6 points postoperatively. There were 6 complications: two confusional syndromes, a deep venous thrombosis, a prosthetic dislocation and two painful prostheses.</p><p><strong>Conclusion:</strong> ­Total knee arthroplasty in patients with Parkinson’s disease is a procedure that improves functional outcomes and pain, but it produces more complications than in the general population. </p></div></div></div><p><span><br /></span></p></div></div></div>

Matched cohort analysis of peri-operative outcomes following total knee arthroplasty in patients with and without Parkinson's disease

The Knee ◽  
2019 ◽  
Vol 26 (4) ◽  
pp. 876-880 ◽  
Author(s):  
Justin E. Kleiner ◽  
Joseph A. Gil ◽  
Adam E.M. Eltorai ◽  
Lee E. Rubin ◽  
Alan H. Daniels
Keyword(s):  
Parkinson’S Disease ◽  
Parkinson's Disease ◽  
Total Knee Arthroplasty ◽  
Knee Arthroplasty ◽  
Cohort Analysis ◽  
Matched Cohort ◽  
Operative Outcomes ◽  
Total Knee

Impact of Parkinson's Disease on Complications, Readmission Rates, and Costs of Care following Primary Total Knee Arthroplasty

2020 ◽  
Author(s):  
Kevin B. Marchand ◽  
Rushabh Vakharia ◽  
Nipun Sodhi ◽  
Hiba Anis ◽  
Hytham S. Salem ◽  
...  
Keyword(s):  
Parkinson’S Disease ◽  
Parkinson's Disease ◽  
Total Knee Arthroplasty ◽  
Knee Arthroplasty ◽  
Primary Total Knee Arthroplasty ◽  
Medical Complications ◽  
Administrative Claims ◽  
Readmission Rates ◽  
Total Knee ◽  
Primary Total Knee

AbstractLarge-scale studies evaluating the effects of Parkinson's disease (PD) on primary total knee arthroplasty (TKA) are limited. The purpose of this study was to determine if PD patients undergoing primary TKA have increased: (1) medical complications; (2) implant-related complications; (3) readmission rates; and (4) costs. A query was performed using an administrative claims database. The study group consisted of all patients undergoing primary TKA who had a history of PD. Matched non-PD patients undergoing primary TKA served as a control group. The query yielded 72,326 patients (PD = 18,082; matching cohort = 54,244). Pearson's chi-square tests, logistic regression analyses, and Welch's t-tests were used to test for significance between the cohorts. Primary TKA patients who had PD were found to have greater incidences and odds of medical complications (4.21 vs. 1.24%; odds ratio [OR]: 3.50, 95% confidence interval [CI]: 3.15–3.89, p < 0.0001) and implant-related complications (5.09 vs. 3.15%; OR: 1.64, 95% CI: 1.51–1.79, p < 0.0001) compared with the matching cohort. Additionally, the rates and odds of 90-day readmission were higher (16.29 vs. 12.66%; OR:1.34, p < 0.0001) and episodes of care costs were significantly greater ($17,105.43 vs. $15,252.34, p < 0.0001) in patients who had PD. Results demonstrate that PD patients undergoing primary TKA had higher incidences of medical and implant-related complications. They also had increased 90-day readmission rates and costs compared with controls. The findings of this study should be used in risk stratification and should inform physician–patient discussion but should not be arbitrarily used to deny access to care.

scholarly journals Total Knee Arthroplasty In Patients With Parkinson's Disease- A Critical Analysis of Available Evidence

2017 ◽  
Vol 11 (1) ◽  
pp. 1087-1093 ◽  
Author(s):  
Munis Ashraf ◽  
Sruthi Priyavadhana ◽  
Senthil Nathan Sambandam ◽  
Varatharaj Mounasamy ◽  
Om Prakash Sharma
Keyword(s):  
Parkinson’S Disease ◽  
Parkinson's Disease ◽  
Total Knee Arthroplasty ◽  
Parkinson Disease ◽  
Functional Outcome ◽  
Knee Arthroplasty ◽  
Total Joint Arthroplasty ◽  
Joint Arthroplasty ◽  
Total Knee

Background: In this era of modern medicine, there is an increase in life expectancy and thereby an ageing population. Among this group one of the most common neurological disorder is Parkinson disease and one of the most common operation done in elderly population is a total joint arthroplasty. But total joint arthroplasty in Parkinson disease is a relatively uncommon entity. There is sparse literature available with regards to total knee arthroplasty (TKA) in Parkinson disease. This review focusses on the necessity, complications and previous experiences on TKA in PD based on the literature available. Method: The review was conducted after a series of advanced search in the following medical databases; Pub med, Biomed central, Cochrane and Google scholar for articles related to total knee replacement in patients with Parkinson’s disease. The following keywords were used; Total knee arthroplasty, Parkinson’s disease, Hoehn and Yahr, Flexion Contracture. Results: The review indicates that the functional outcome is comparable to that of controls in immediate post-operative phase, one year and three-year phase, but the long term functional outcome seems to deteriorate significantly. Conclusion: Total knee arthroplasty can serve as an effective tool in alleviating pain in short term as well as long term periods, whereas the functional outcome seems to deteriorate post operatively on a long-term basis. Nevertheless, TKA in PD is a challenging situation, thereby necessitating a holistic approach with the efforts from various specialists needed at each stage to ensure a successful operation.

Do we really improve life quality after total knee arthroplasty in patients with Parkinson’s disease?

2020 ◽  
Author(s):  
Verónica Montiel Terrón ◽  
María Vitoria ◽  
Jose María Lamo de Espinosa Vázquez de Sola ◽  
Juan Ramón Valentí Nin ◽  
Andrés Valentí Azcárate
Keyword(s):  
Parkinson’S Disease ◽  
Parkinson's Disease ◽  
Total Knee Arthroplasty ◽  
Knee Arthroplasty ◽  
Life Quality ◽  
Total Knee
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