Total ­knee­ arthroplasty­ in­ Parkinson’s ­disease­ patients. Preliminary results

  • Juan P. Bonifacio Sector de Artroscopia y Prótesis de Rodilla Instituto de Ortopedia y Traumatología "Carlos E. Ottolenghi” Hospital Italiano de Buenos Aires
  • Matías Costa Paz Sector de Artroscopia y Prótesis de Rodilla Instituto de Ortopedia y Traumatología "Carlos E. Ottolenghi” Hospital Italiano de Buenos Aires
  • Lisandro Carbo Sector de Artroscopia y Prótesis de Rodilla Instituto de Ortopedia y Traumatología "Carlos E. Ottolenghi” Hospital Italiano de Buenos Aires
  • Carlos Yacuzzi Sector de Artroscopia y Prótesis de Rodilla Instituto de Ortopedia y Traumatología "Carlos E. Ottolenghi” Hospital Italiano de Buenos Aires
  • Emilio Corinaldesi Sector de Artroscopia y Prótesis de Rodilla Instituto de Ortopedia y Traumatología "Carlos E. Ottolenghi” Hospital Italiano de Buenos Aires
DOI: https://doi.org/10.15417/224

Abstract

Background: Parkinson’s disease is a progressive, chronic, neurodegenerative disorder with an approximate incidence of 31/100,000 persons in Argentina.The aim of this study was to assess a group of patients with Parkinson’s disease who underwent total knee arthroplasty.Methods:­ 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.Results: 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.Conclusion: ­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.  

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Author Biographies

Juan P. Bonifacio, Sector de Artroscopia y Prótesis de Rodilla Instituto de Ortopedia y Traumatología "Carlos E. Ottolenghi” Hospital Italiano de Buenos Aires
Medico TraumatologoFellowShipSector de Artroscopia y Prótesis de RodillaInstituto de Ortopedia y Traumatología "Carlos E.  Ottolenghi” Hospital Italiano de Buenos Aires
Matías Costa Paz, Sector de Artroscopia y Prótesis de Rodilla Instituto de Ortopedia y Traumatología "Carlos E. Ottolenghi” Hospital Italiano de Buenos Aires
Jefe del Sector de Artroscopia y Prótesis de RodillaInstituto de Ortopedia y Traumatología "Carlos E.  Ottolenghi” Hospital Italiano de Buenos Aires
Lisandro Carbo, Sector de Artroscopia y Prótesis de Rodilla Instituto de Ortopedia y Traumatología "Carlos E. Ottolenghi” Hospital Italiano de Buenos Aires
Médico asociado Sector de Artroscopia y Prótesis de RodillaInstituto de Ortopedia y Traumatología "Carlos E.  Ottolenghi” Hospital Italiano de Buenos Aires
Carlos Yacuzzi, Sector de Artroscopia y Prótesis de Rodilla Instituto de Ortopedia y Traumatología "Carlos E. Ottolenghi” Hospital Italiano de Buenos Aires
Médico Asociado del Sector de Artroscopia y Prótesis de RodillaInstituto de Ortopedia y Traumatología "Carlos E.  Ottolenghi” Hospital Italiano de Buenos Aires
Emilio Corinaldesi, Sector de Artroscopia y Prótesis de Rodilla Instituto de Ortopedia y Traumatología "Carlos E. Ottolenghi” Hospital Italiano de Buenos Aires
Médico Traumatologo Especialista en Rodilla.

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Published
2014-06-30
How to Cite
Bonifacio, J. P., Costa Paz, M., Carbo, L., Yacuzzi, C., & Corinaldesi, E. (2014). Total ­knee­ arthroplasty­ in­ Parkinson’s ­disease­ patients. Preliminary results. Revista De La Asociación Argentina De Ortopedia Y Traumatología, 79(2), 99-106. https://doi.org/10.15417/224
Issue
Vol 79 No 2 (2014)
Section
Clinical Research

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