Chinese Journal of Tissue Engineering Research ›› 2012, Vol. 16 ›› Issue (30): 5534-5539.doi: 10.3969/j.issn.2095-4344.2012.30.006

Previous Articles     Next Articles

Bipolar femoral head replacement for the treatment of femoral neck fractures in elder Parkinson's disease patients

Zhuang Ze1, Zeng Chun1, Zeng Hua2, Wang Kun1   

  1. 1Department of Joint and Taumatic Orthopedics;
    2Department of Emergency Surgery, the Third Affiliated Hospital of Sun Yat-Sen University, Guangzhou 510630, Guangdong Province, China
  • Received:2011-12-05 Revised:2012-01-10 Online:2012-07-22 Published:2012-07-22
  • Contact: Wang Kun, Doctor, Chief physician, Department of Joint and Taumatic Orthopedics, the Third Affiliated Hospital of Sun Yat-Sen University, Guangzhou 510630，Guangdong Province, China daozhang@medmail com.cn
  • About author:Zhuang Ze, Department of Joint and Taumatic Orthopedics, the Third Affiliated Hospital of Sun Yat-Sen University, Guangzhou 510630, Guangdong Province, China zzbjm@163.com

PDF

533

Abstract:

BACKGROUND: Due to the muscle imbalance outcomes, Parkinson’s patients are easy to fall and have a high risk of femoral neck fracture.
OBJECTIVE: To explore the treatment outcomes of bipolar femoral head replacement for the femoral neck fractures in elder Parkinson’s patients
METHODS: A retrospective analysis was carried out on the clinical data of the 14 Parkinson’s disease patients of femoral neck fractures, a total of 14 hips, who were treated with bipolar femoral head replacement. The patients were divided into three phases by Hoehn-Yahr classification, 3 cases in Ⅰ phase, 4 cases in Ⅱ phase, 5 cases in Ⅲ phase and 2 cases in Ⅳ phase. The average surgery age was 62 to 83 years old. The Harris score, Fugl-Meyer scale and Unified Parkinson’s Disease Rating Scale score were used as follow-up judgment.
RESULTS AND CONCLUSION: The average follow-up time was 1 to 6 years. Harris score of 14 patients was postoperatively 85.4 better than preoperatively 22.3 (P < 0.05), Fugl-Meyer score was postoperatively 81.6 better than preoperatively 52.5 (P < 0.05). There was no significant difference of Unified Parkinson’s Disease Rating Scale score before and after operation, and the Parkinson’s disease controlled stable. No prosthesis loosening, dislocation or other complications. Early and mid-term follow-up showed under the effective medical control of the neurology drugs, bipolar femoral head replacement is a safe and effective treatment of femoral neck fracture for Hoehn-Yahr Ⅰ-Ⅳ Parkinson’s patient. There is relationship between the hip joint function and the control of the Parkinson’s disease after replacement.

CLC Number: