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Ghanbari A, Yahyazadeh H, Bagherifard A, Khosravi K, Azimi A, Ahmadi R, et al . Total Joint Arthroplasty in Patients With Parkinson’s Disease: A Review of Recent Literature. JROS 2023; 10 (4) :201-216
URL: http://jros.iums.ac.ir/article-1-2260-en.html

Total joint arthroplasty (TJA) of the lower extremities is a successful surgical procedure for end-stage degeneration and is gaining increasing popularity worldwide. Preexisting neurological conditions have been a significant challenge for arthroplasty surgeons for a long time, and they have avoided performing TJA in these patients. Parkinson’s disease (PD), an age-related neurodegenerative disorder, is prevalent and associated with a higher likelihood of gait imbalance, falling, and osteoarthritis (OA). The number of patients with PD who experience hip and knee OA is increasing. As a result, some of these individuals may need to undergo total hip or knee arthroplasty (THA/TKA) to alleviate symptoms and improve their function. Patients with PD present a remarkable set of challenges for surgeons owing to increased muscle tone, higher fracture risk, and ligament instability. Currently, limited information is available regarding the outcomes and effectiveness of these procedures in PD patients. The lack of data is a concern because it prevents surgeons from making informed decisions regarding the use of TJA in this patient population. This study aims to summarize the recent literature regarding total hip arthroplasty (THA) and total knee arthroplasty (TKA) procedures in patients with PD to help surgeons in this challenging setting and improve their knowledge of potential complications and outcomes in this complex background.