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This study investigated postoperative complications and revision rates following total hip (THA) and knee arthroplasty (TKA) in patients with PD.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Methods<\/jats:title>\n            <jats:p>Ninety-six patients with PD undergoing THA or TKA were matched 1:1 with non-PD patients using propensity score matching for age, sex and comorbidity (Charlson Comorbidity index, CCI). Rates of revisions, medical and surgical complications were compared. Univariate and multivariate regression analyses were calculated.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Results<\/jats:title>\n            <jats:p>PD patients exhibited higher rates of revision-surgeries within 90\u00a0days (13.5% vs. 5.2%; <jats:italic>p<\/jats:italic>\u2009=\u20090.048), medical complications (68.8% vs. 43.8%; <jats:italic>p<\/jats:italic>\u2009&lt;\u20090.001) and surgical complications (40.6% vs. 21.9%; <jats:italic>p<\/jats:italic>\u2009=\u20090.005). Multivariate regression analysis confirmed PD as a significant risk factor for complications and long-term revision-surgeries.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Conclusion<\/jats:title>\n            <jats:p>PD increases the risk of adverse outcomes following THA and TKA. Improvements in pre-operative planning and post-operative care are critical to the improvement of outcomes in this vulnerable population.<\/jats:p>\n          <\/jats:sec>","DOI":"10.1007\/s00264-024-06398-9","type":"journal-article","created":{"date-parts":[[2025,1,24]],"date-time":"2025-01-24T18:17:02Z","timestamp":1737742622000},"page":"559-572","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Influence of parkinson\u2019s disease on complications and revisions in total hip and knee arthroplasty: insights from a matched pair analysis"],"prefix":"10.1007","volume":"49","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0236-695X","authenticated-orcid":false,"given":"Dominik Emanuel","family":"Holzapfel","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tobias","family":"Kappenschneider","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marie Farina","family":"Schuster","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stefano","family":"Pagano","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fady","family":"Azar","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sabrina","family":"Holzapfel","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Matthias","family":"Meyer","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2025,1,24]]},"reference":[{"issue":"11","key":"6398_CR1","doi-asserted-by":"publisher","first-page":"687","DOI":"10.5435\/00124635-201011000-00006","volume":"18","author":"W Macaulay","year":"2010","unstructured":"Macaulay W, Geller JA, Brown AR, Cote LJ, Kiernan HA (2010) Total Knee Arthroplasty and Parkinson Disease: Enhancing Outcomes and Avoiding Complications: American Academy of Orthopaedic. 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