Department of Orthopaedic Surgery, Center for Hip and Knee Replacement, New York-Presbyterian Hospital at Columbia University Medical Center, New York, NY, USA.
J Am Acad Orthop Surg. 2010 Nov;18(11):687-94. doi: 10.5435/00124635-201011000-00006.
Total knee arthroplasty (TKA) is typically an extremely successful method of restoring pain-free function and providing good long-term outcomes for patients with end-stage knee disease. However, outcomes are less predictable in persons with Parkinson disease. The limited literature available and our experience lead us to conclude that complication rates in the perioperative and postoperative periods with TKA are comparatively high in persons with Parkinson disease. In addition, a good functional outcome is less certain than in the general population. For persons with Parkinson disease who require TKA, we propose an integrative, collaborative approach to avoid complications and optimize outcomes.
全膝关节置换术（TKA）通常是一种非常成功的方法，可以为晚期膝关节疾病患者恢复无痛功能并提供良好的长期效果。然而，在帕金森病患者中，结果则较难预测。现有有限的文献和我们的经验使我们得出结论，即帕金森病患者在围手术期和术后期间，TKA 的并发症发生率相对较高。此外，良好的功能结果也不如一般人群确定。对于需要 TKA 的帕金森病患者，我们建议采用综合、协作的方法来避免并发症并优化结果。
