TABLE 4.
Orthopedic surgery, complications
| Study | Inclusion | Exclusion | Number | Design | Intervention | Most frequent complications |
|---|---|---|---|---|---|---|
| Mehta et al., 200829 | PD | Total knee arthroplasty revision | 34 patients | Retrospective | Total knee arthroplasty | Confusion 35% |
| 39 knees | Superficial wound infection, aspiration pneumonia both 6% | |||||
| Weber et al., 200248 | PD | 98 patients | Retrospective | Hip replacement | 6 Month mortality 6% | |
| 107 hips | Overall complications: 36% | |||||
| UTI 7% | ||||||
| Dislocation 6% | ||||||
| Postoperative confusion 4% | ||||||
| Pneumonia, deep venous thrombosis both 3% | ||||||
| Duffy and Trousdale, 199643 | PD | 24 patients | Retrospective | Total knee arthroplasty | Confusion 20% | |
| 33 knees | Deep venous thrombosis, superficial infections both 8% | |||||
| Myositis ossification, urinary retention, wound necrosis, respiratory tract infection all 4% | ||||||
| Turcotte et al., 199050 | PD | 87 patients | Retrospective | Hip fracture surgery | After 6 months: | |
| 94 hips | Mortality 14%: myocardial infarction (n=5), infection (n=2), pulmonary embolism (n=1), unknown (n=4) | |||||
| Orthopaedic problem 14% | ||||||
| Decubitus ulcers 5% | ||||||
| Wound infections 4% | ||||||
| Vince et al., 198946 | PD | 9 patients | Retrospective | Total knee arthroplasty | Deep vein thrombus (n=4), UTIs (n=3), temporary disorientation (n=2), skin necrosis (n=1), intestinal ileus (n=1), pulmonary embolism (n=2) | |
| 13 knees | ||||||
| Staeheli et al., 198845 | PD | Parkinsonism | 49 patients | Retrospective | Hip fracture surgery | 6 Months complication: |
| 50 hips | Mortality 20%: pneumonia 40%, congestive heart failure 20%, cerebrovascular accident 20%, pulmonary embolism 10%, breast cancer 10% | |||||
| UTI 20%, pneumonia 10%, decubitus ulcers 10%, pulmonary embolism 6%, cerebrovascular accident 6%, wound infection 4% | ||||||
| Eventov et al., 198344 | PD | Impacted subcapital fractures | 62 patients: 45 patients undergoing surgery | Retrospective | Hip fracture surgery | 3 Month mortality surgery group 31% (1 year 38%): bronchopneumonia 43%, congestive heart failure 21% |
| Ambulatory | 3 Month mortality in patients not undergoing surgery 29% (35% 1 year) | |||||
| Survivors surgery group (n=31): | ||||||
| UTI 23%, decubitus 23%, bronchopneumonia 16%, contractures 6%, deep infection, cardiac arrythmias, myocardial infarction, dislocation, thrombophlebitis, paralytic ileus all 3% | ||||||
| Survivors of patients not undergoing surgery (n=12): | ||||||
| UTI 17%, decubitus 25%, bronchopneumonia 0%, contractures 17% | ||||||
| Coughlin and Templeton, 198047 | PD | 47 patients | Retrospective | Hip fracture surgery | 6 Month mortality 47% | |
| 49 hips | Decubitus 49% | |||||
| Ambulatory | Dislocation 37% (endoprosthesis) | |||||
| Rothermel and Garcia, 197249 | PD | 23 patients: 16 without levodopa, 7 with levodopa | Retrospective | Hip fracture surgery | With levodopa: phlebitis n=1 | |
| Without levodopa: debrided decubitus ulcers n=2, phlebitis n=2, deep hematoma n=2, dislocation n=2, urinary septicaemia n=1, fatal myocardial infarction n=1 |
PD, Parkinson's disease; UTI, urinary tract infection.