• 文献检索
  • 文档翻译
  • 深度研究
  • 学术资讯
  • Suppr Zotero 插件Zotero 插件
  • 邀请有礼
  • 套餐&价格
  • 历史记录
应用&插件
Suppr Zotero 插件Zotero 插件浏览器插件Mac 客户端Windows 客户端微信小程序
定价
高级版会员购买积分包购买API积分包
服务
文献检索文档翻译深度研究API 文档MCP 服务
关于我们
关于 Suppr公司介绍联系我们用户协议隐私条款
关注我们

Suppr 超能文献

核心技术专利：CN118964589B侵权必究
粤ICP备2023148730 号-1Suppr @ 2026

文献检索

告别复杂PubMed语法，用中文像聊天一样搜索，搜遍4000万医学文献。AI智能推荐，让科研检索更轻松。

立即免费搜索

文件翻译

保留排版，准确专业，支持PDF/Word/PPT等文件格式，支持 12+语言互译。

免费翻译文档

深度研究

AI帮你快速写综述，25分钟生成高质量综述，智能提取关键信息，辅助科研写作。

立即免费体验

帕金森病患者全髋关节置换术的结果：择期手术组与髋部骨折组的比较

The Outcomes of Total Hip Replacement in Patients with Parkinson's Disease: Comparison of the Elective and Hip Fracture Groups.

作者信息

Šponer Pavel, Kučera Tomáš, Grinac Michal, Bezrouk Aleš, Waciakowski Daniel

机构信息

Department of Orthopaedic Surgery, Charles University in Prague, Faculty of Medicine in Hradec Králové, Šimkova 870, 500 38 Hradec Králové, Czech Republic.

Department of Orthopaedic Surgery, University Hospital Hradec Králové, Sokolská 581, 500 05 Hradec Králové, Czech Republic.

出版信息

Parkinsons Dis. 2017;2017:1597463. doi: 10.1155/2017/1597463. Epub 2017 Sep 27.

DOI:10.1155/2017/1597463
PMID:29090105
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5635275/
Abstract

INTRODUCTION

The aim of the study was to compare the clinical outcomes following elective and traumatic total hip arthroplasty in Parkinson's disease patients.

MATERIALS AND METHODS

Ten patients with osteoarthritis comprise the elective group (mean age at operation 74 years; mean follow-up 82 months). Thirteen patients with femoral fracture comprise the hip fracture group (mean age 76 years; mean follow-up 54 months). All patients were followed up at 6 and 36 months postoperatively and at the time of the latest follow-up.

RESULTS

Despite the significant improvement in Merle d'Aubigné-Postel and pain scores, disability related to Parkinson's disease increased during the follow-up. Whereas more than 1/3 of hip fracture patients and all elective patients walked independently at 36 months after total hip arthroplasty, 43% of living patients from both groups were able to walk independently at the time of the latest follow-up. The medical complications were seen mainly in patients with hip fracture.

CONCLUSIONS

Excellent pain relief with preserved walking ability without support of another person and acceptable complication profile was observed in Parkinson's disease patients at 36 months after elective total hip arthroplasty. This procedure may be indicated in Parkinson's disease patients after careful and individualized planning.

摘要

引言

本研究的目的是比较帕金森病患者择期和创伤性全髋关节置换术后的临床结果。

材料与方法

10例骨关节炎患者组成择期手术组（平均手术年龄74岁；平均随访82个月）。13例股骨骨折患者组成髋部骨折组（平均年龄76岁；平均随访54个月）。所有患者在术后6个月、36个月以及最近一次随访时进行随访。

结果

尽管Merle d'Aubigné-Postel评分和疼痛评分有显著改善，但在随访期间帕金森病相关残疾有所增加。全髋关节置换术后36个月时，超过1/3的髋部骨折患者和所有择期手术患者能够独立行走，而在最近一次随访时，两组中仍在世的患者中有43%能够独立行走。医疗并发症主要见于髋部骨折患者。

结论

择期全髋关节置换术后36个月时，帕金森病患者疼痛得到显著缓解，无需他人帮助即可保持行走能力，并发症情况可接受。经过仔细的个体化规划后，该手术可能适用于帕金森病患者。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2f20/5635275/09ba2f417512/PD2017-1597463.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2f20/5635275/6ba094d6a26c/PD2017-1597463.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2f20/5635275/86201955bd1d/PD2017-1597463.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2f20/5635275/09ba2f417512/PD2017-1597463.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2f20/5635275/6ba094d6a26c/PD2017-1597463.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2f20/5635275/86201955bd1d/PD2017-1597463.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2f20/5635275/09ba2f417512/PD2017-1597463.003.jpg

相似文献

1
The Outcomes of Total Hip Replacement in Patients with Parkinson's Disease: Comparison of the Elective and Hip Fracture Groups.帕金森病患者全髋关节置换术的结果：择期手术组与髋部骨折组的比较
Parkinsons Dis. 2017;2017:1597463. doi: 10.1155/2017/1597463. Epub 2017 Sep 27.
2
One-third of Hips After Periacetabular Osteotomy Survive 30 Years With Good Clinical Results, No Progression of Arthritis, or Conversion to THA.髋臼周围截骨术后三分之一的髋关节在30年时仍保持良好临床效果，无关节炎进展或无需转换为全髋关节置换术。
Clin Orthop Relat Res. 2017 Apr;475(4):1154-1168. doi: 10.1007/s11999-016-5169-5.
3
Labral Reattachment in Femoroacetabular Impingement Surgery Results in Increased 10-year Survivorship Compared With Resection.与切除术相比，髋臼盂唇重新附着术在股骨髋臼撞击症手术中可提高10年生存率。
Clin Orthop Relat Res. 2017 Apr;475(4):1178-1188. doi: 10.1007/s11999-016-5114-7.
4
Total hip replacement with the CLS expansion shell and a structural femoral head autograft for patients with congenital hip disease.采用CLS扩张型髋臼杯及结构性股骨头自体骨移植治疗先天性髋关节疾病患者的全髋关节置换术。
J Bone Joint Surg Am. 2005 Apr;87(4):801-7. doi: 10.2106/JBJS.C.01637.
5
Periprosthetic femoral fractures after total hip arthroplasty: An algorithm of treatment.全髋关节置换术后股骨假体周围骨折：一种治疗方案。
Injury. 2019 Jul;50 Suppl 2:S45-S51. doi: 10.1016/j.injury.2019.01.044. Epub 2019 Feb 2.
6
Total hip arthroplasty survival in femoral head avascular necrosis versus primary hip osteoarthritis: Case-control study with a mean 10-year follow-up after anatomical cementless metal-on-metal 28-mm replacement.股骨头缺血性坏死与原发性髋关节骨关节炎患者全髋关节置换术的生存率：对采用解剖型非骨水泥28毫米金属对金属置换术治疗的患者进行平均10年随访的病例对照研究。
Orthop Traumatol Surg Res. 2016 Dec;102(8):1029-1034. doi: 10.1016/j.otsr.2016.08.021. Epub 2016 Oct 27.
7
Hips With Protrusio Acetabuli Are at Increased Risk for Failure After Femoroacetabular Impingement Surgery: A 10-year Followup.髋臼突出的髋关节在股骨髋臼撞击症手术后失败风险增加：一项10年随访研究。
Clin Orthop Relat Res. 2016 Oct;474(10):2168-80. doi: 10.1007/s11999-016-4918-9.
8
[Early primary total hip arthroplasty for acetabular fractures in elderly patients].老年患者髋臼骨折的早期初次全髋关节置换术
Acta Chir Orthop Traumatol Cech. 2006 Aug;73(4):275-82.
9
Cementless total hip arthroplasty for patients previously treated with femoral osteotomy for hip dysplasia: the incidence of periprosthetic fracture.针对既往因髋关节发育不良接受股骨截骨术治疗的患者行非骨水泥型全髋关节置换术：假体周围骨折的发生率
Int Orthop. 2016 Aug;40(8):1601-1606. doi: 10.1007/s00264-015-2992-3. Epub 2015 Sep 19.
10
Primary cementless total hip arthroplasty in octogenarians. Two to eleven-year follow-up.八旬老人的初次非骨水泥型全髋关节置换术。2至11年随访。
J Bone Joint Surg Am. 2001 Mar;83(3):359-63. doi: 10.2106/00004623-200103000-00007.

引用本文的文献

1
Total Hip Replacement with a Fully Hydroxyapatite-Coated Shortened Stem: Five- to Thirteen-Year Follow-Up Results.全羟基磷灰石涂层缩短柄全髋关节置换术：5至13年随访结果
J Clin Med. 2024 May 1;13(9):2657. doi: 10.3390/jcm13092657.
2
Levodopa-Carbidopa Intestinal Gel Injection for Patient with Severe Parkinson's Disease Followed by Total Hip Arthroplasty: A Case Report and Literature Review.左旋多巴-卡比多巴肠凝胶注射治疗严重帕金森病患者行全髋关节置换术：病例报告及文献复习。
Orthop Surg. 2023 Nov;15(11):2993-2999. doi: 10.1111/os.13879. Epub 2023 Sep 15.
3
Total Hip Arthroplasty in Patients With Neurological Conditions: A Systematic Review.

本文引用的文献

1
Retentive Cup Arthroplasty in Selected Hip Fracture Patients-A Prospective Series With a Minimum 3-Year Follow-Up.特定髋部骨折患者的保留杯关节成形术——一项至少随访3年的前瞻性研究系列
Geriatr Orthop Surg Rehabil. 2016 Dec;7(4):178-182. doi: 10.1177/2151458516661384. Epub 2016 Aug 8.
2
Comparing the Incidence of Falls/Fractures in Parkinson's Disease Patients in the US Population.比较美国帕金森病患者跌倒/骨折的发生率与总体人群的差异。
PLoS One. 2016 Sep 1;11(9):e0161689. doi: 10.1371/journal.pone.0161689. eCollection 2016.
3
Hemiarthroplasty for Displaced Femoral Neck Fractures in the Elderly Has a Low Conversion Rate.
神经系统疾病患者的全髋关节置换术：一项系统评价
Arthroplast Today. 2022 Dec 12;19:101068. doi: 10.1016/j.artd.2022.11.001. eCollection 2023 Feb.
4
Outcomes of hip arthroplasty in Parkinson's disease: a meta-analysis and systematic review.帕金森病患者髋关节置换术的疗效：一项荟萃分析与系统评价
Int Orthop. 2022 Apr;46(4):705-716. doi: 10.1007/s00264-021-05228-6. Epub 2021 Oct 28.
5
Musculoskeletal pain in Parkinson's disease: a narrative review.帕金森病中的肌肉骨骼疼痛：叙事性综述。
Neurodegener Dis Manag. 2021 Oct;11(5):373-385. doi: 10.2217/nmt-2021-0011. Epub 2021 Aug 19.
6
Total hip arthroplasty in Parkinson's disease - A systematic review of the current evidence.帕金森病患者的全髋关节置换术——当前证据的系统评价
J Orthop. 2021 Mar 31;24:284-290. doi: 10.1016/j.jor.2021.03.014. eCollection 2021 Mar-Apr.
7
Clinical outcomes in elective total hip arthroplasty in Parkinson's disease: a systematic review of the literature.帕金森病患者择期全髋关节置换术的临床结局：文献系统综述
EFORT Open Rev. 2020 Dec 4;5(12):856-865. doi: 10.1302/2058-5241.5.200034. eCollection 2020 Dec.
8
Parkinson Disease Associated Differences in Elective Orthopedic Surgery Outcomes: A National Readmissions Database Analysis.帕金森病相关的择期骨科手术结局差异：全国再入院数据库分析。
J Parkinsons Dis. 2020;10(4):1577-1586. doi: 10.3233/JPD-201992.
9
Postoperative outcomes after total hip arthroplasty in patients with Parkinson disease: A protocol of case control study.帕金森病患者全髋关节置换术后的结果：一项病例对照研究方案
Medicine (Baltimore). 2020 May;99(19):e20018. doi: 10.1097/MD.0000000000020018.
老年移位型股骨颈骨折的半髋关节置换术转换率较低。
J Arthroplasty. 2017 Jan;32(1):150-154. doi: 10.1016/j.arth.2016.06.048. Epub 2016 Jul 6.
4
Routine functional assessment for hip fracture patients.髋部骨折患者的常规功能评估。
Acta Orthop. 2016 Aug;87(4):374-9. doi: 10.1080/17453674.2016.1197534. Epub 2016 Jun 22.
5
Outcomes After Hip Fracture Surgery Compared With Elective Total Hip Replacement.髋部骨折手术后与选择性全髋关节置换术的结果比较。
JAMA. 2015 Sep 15;314(11):1159-66. doi: 10.1001/jama.2015.10842.
6
Occurrence, management and outcomes of hip fractures in patients with Parkinson's disease.帕金森病患者髋部骨折的发生、处理和结局。
Br Med Bull. 2015 Sep;115(1):135-42. doi: 10.1093/bmb/ldv029. Epub 2015 Jun 29.
7
Outcomes of dual-mobility acetabular cup for instability in primary and revision total hip arthroplasty.双动髋臼杯用于初次和翻修全髋关节置换术中不稳定情况的疗效
J Orthop Traumatol. 2015 Mar;16(1):9-13. doi: 10.1007/s10195-014-0324-9. Epub 2014 Oct 21.
8
The prevalence of Parkinson's disease: a systematic review and meta-analysis.帕金森病的患病率：一项系统评价与荟萃分析
Mov Disord. 2014 Nov;29(13):1583-90. doi: 10.1002/mds.25945. Epub 2014 Jun 28.
9
Surgical outcomes of primary hip and knee replacements in patients with Parkinson's disease: a nationwide registry-based case-controlled study.原发性髋关节和膝关节置换术在帕金森病患者中的手术效果：一项基于全国注册的病例对照研究。
Bone Joint J. 2014 Apr;96-B(4):486-91. doi: 10.1302/0301-620X.96B4.33422.
10
Total HIP arthroplasty in patients with Parkinson's disease.帕金森病患者的全髋关节置换术。
Acta Medica (Hradec Kralove). 2013;56(3):110-6. doi: 10.14712/18059694.2014.18.