Abstract

BONIFACIO, Juan P et al. Prótesis total de rodilla en pacientes con enfermedad de Parkinson: Resultados preliminares. Rev. Asoc. Argent. Ortop. Traumatol. [online]. 2014, vol.79, n.2, pp.99-106. ISSN 1852-7434.

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 Parkinson 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.

Keywords : Arthroplasty; Parkinson's disease.

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