Hip fractures in patients with Parkinson's disease

A series of patients with Parkinson's disease and hip disease over a period of 10 years was reviewed at 3 McGill University hospitals. There were 47 patients with 49 hip fractures. The mean age was 76 years. There were 27 subcapital fractures and 22 intertrochanteric fractures. The overall 6-month mortality was 47%. The mortality in the subcapital group was 60% and that in the intertrochanteric group 27%. The mortality in the patients with subcapital fractures treated with an endoprosthesis was 75%. The incidence of dislocation in the group treated with endoprosthesis was 37%, and all those patients died. The overall incidence of pressure sores was 49%. Internal fixation is recommended for treatment of hip fractures in patients with Parkinson's disease.