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Treatment of Hip Fractures in Patients with Parkinson's Syndrome on Levodopa Therapy
JOEL E. ROTHERMEL; ALEXANDER GARCIA
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From The New York Orthopaedic Hospital and The Presbyterian Hospital, Columbia-Presbyterian Medical Center, New York
1972 by The Journal of Bone and Joint Surgery, Incorporated
The Journal of Bone & Joint Surgery.  1972; 54:1251-1254 
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Abstract

1. There is substantial evidence that continued administration of levodopa is the most effective treatment for reversing the symptoms of Parkinson's syndrome.

2. There were sixteen fractured hips among 550 patients receiving levodopa during a thirty-six month period of clinical drug investigation. Because of beneficial effects of levodopa therapy, fracture management may be the same as for the average elderly patient who does not have neurological disease.

3. Complications were fewer and prognosis better in patients taking levodopa than in those we treated prior to the use of this drug.

4. In patients on levodopa, the indications for replacement prostheses are the same as for normal elderly patients.

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    Accreditation Statement
    These activities have been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint sponsorship of the American Academy of Orthopaedic Surgeons and The Journal of Bone and Joint Surgery, Inc. The American Academy of Orthopaedic Surgeons is accredited by the ACCME to provide continuing medical education for physicians.
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