Hip Fractures in Patients with Parkinson's Disease

초록

Objective Parkinson’s disease (PD) and osteoporosis are two conditions affecting a substantial portion of the elderly population. Furthermore, osteoporosis and osteopenia are very common findings in patients with PD. 64% of Parkinson's disease patients experienced falling once every 3 months and a fracture occurred in about out of every 4. We investigated study the followings: 1. Characteristics of PD patients with femur fracture, 2. Relationship between the types of femur fracture and the degree of bone loss, the body mass index, 3. Clinical characteristics of osteoporosis management in patients with Parkinson's disease. 4. Post surgical rehabilitation Subjects and Methods This study was conducted in a single institution where they receive 311 inpatients. Data on patients with PD was collected from Jan, 2002 to Jan, 2017. The data used KCD-6 (Korean Standard Classification of Diseases) for its diagnostic code and it was obtained using G20 for PD. We excluded those individuals who were diagnosed with secondary PD (except previous stroke) and previous history of fracture before diagnosed with PD. Results Among 311 patients with Parkinson's disease, 56 patients with femur fractures were found and 31 patients were included in this study. The fracture pattern, BMD, BMI, and stage of Parkinson 's disease were reviewed. The patient demographics are summarized in Table 1. The mean age of the patients was 74.9 ± 7.7 years (10 males) and the duration of the disease was 4.9 ± 5.1 years. The most common underlying diseases were Hypertension (64.5) and Diabetes (51.6). 87.1 of patients with femur fracture had osteoporosis. As the PD patients' stages progressed, the degree of bone mineral density became worse. In the relationship between the types of femur fracture and the BMD, BMI summarized in Table 2. Neck fracture was the most common type of femur fracture (51.6). Neck fracture had a higher proportion of obesity (25vs. 15.4) than intertrochanteric fracture, and inter