Hip Fractures in Patients with Parkinsonʼs Syndrome

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Abstract
Hip fractures in patients with Parkinson''s syndrome present a continuing challenge to orthopedic surgeons. Such patients (62) were reviewed. With or without operation, there was a very high rate of mortality (31%) and complications. The functional results, the ability to walk, progression of the disability and the quality of life were significantly better after operation. The operation is the preferred solution for these patients. They require much more particular care than other patients with hip fractures. This includes adequate adjusted antiparkinson medication, appropriate anesthesia with special attention to adequate ventilation and postoperative analegesia, more intensive respiratory and functional physiotherapy, meticulous nursing care and a relatively extended period of preventive antibiotics.

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