Objective: This study aims to highlight the incidence of hip fracture in people with Parkinson’s disease.

Background: Fall related injuries represent the most frequent reason for hospital admission in PD. Parkinson’s disease patients with hip fractures stay at higher risk of mortality and surgical and medical complications.  Most studies which analyzed the risk of hip fractures in patients with Parkinson’s disease were performed either in specialized centers or excluded very frail patients. We looked at the incidence of hip fracture in Parkinson’s disease at the tertiary care hospital and need to improve awareness of the potential complications of the condition and outcomes.

Method: A total of 19 hip fractures with Parkinson’s disease patients, aged 60 years or older were prospectively enrolled during the period of two year  at the department of orthopedics. On admission at the emergency department with hip fracture, Parkinson’s disease was identified by the dispensing of Parkinson-specific medication and by inpatient hospital diagnoses. Hip fractures without Parkinson`s disease were excluded. All the fractures with Parkinson’s disease were treated operatively under regional anesthesia at the department of orthopedics. All patients with Parkinson’s disease were followed up and reviewed between 6 months and 24 months after fracture incidence.

Results: People with Parkinson’s disease had a more than doubled risk to sustain a hip fracture. The risk of hip fracture was higher in female than in men. The ratio of intracapsular fractures to extracapsular fractures in the total series was almost even. Of the 19 hip fractures associated with Parkinson’s disease, 11 were neck of femur fracture and 8 intertrochanteric fractures. Among the 19 patients, there were 6 men and 13 women. 47.75% of the patients were able to walk normally at the end of 12 months, 19.22% required assistance and 33.03% were immobile. Three patients developed bedsores, 2 were immobilized by contractures and one patient developed sepsis which got cured with medications. One died at 6 months and one at 23 months. In I patient with a sliding screw plate, the screw cut through the femoral head.

Conclusion: The findings confirm the increased risk of hip fractures in patients with Parkinson’s disease. A great need to understand and implement the principles of hip fracture treatment and rehabilitation exists in our own community and practice.

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MDS Abstracts - https://www.mdsabstracts.org/abstract/incidence-of-hip-fracture-in-people-with-parkinsons-disease-at-the-tertiary-care-hospital/