Document Detail

Results of total hip arthroplasty for dialysis arthropathy in long-term hemodialysis patients.
MedLine Citation:
PMID:  19499295     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: The number of hemodialysis patients has progressively increased in Japan. Among the orthopedic complications in this population, chronic hip arthropathy associated with long-term hemodialysis is one of the most devastating problems. Total hip arthroplasty (THA) is often indicated. However, varying results have been reported for THA in these patients. This study was undertaken to assess the risk-benefit ratio of THA performed in patients with dialysis hip arthropathy. METHODS: We evaluated 17 patients (19 hips) with dialysis hip arthropathy who underwent THA. The duration of hemodialysis before surgery ranged from 10 to 27 years. Histological examination of the tissue samples revealed accumulation of amyloid deposits in all cases. Three patients died within 2 years after operation; the remaining 14 patients (16 hips) were followed for a minimum of 3 years. RESULTS: The cumulative survival rate of the prostheses in these 16 hips up to the latest follow-up was 94%. Regarding surgery-related complications, deep infection occurred in one hip, and revision THA was required in one patient with recurrent dislocation and aseptic loosening. CONCLUSIONS: THA for dialysis hip arthropathy in long-term hemodialysis patients is associated with substantial local and general risks. Despite the substantial risk, THA for this patient population seems to afford reasonably satisfactory results.
Shigeo Fukunishi; Tomokazu Fukui; Shoji Nishio; Fumiaki Imamura; Kousei Yoh; Shinichi Yoshiya
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Publication Detail:
Type:  Journal Article     Date:  2009-06-05
Journal Detail:
Title:  Journal of orthopaedic science : official journal of the Japanese Orthopaedic Association     Volume:  14     ISSN:  1436-2023     ISO Abbreviation:  J Orthop Sci     Publication Date:  2009 May 
Date Detail:
Created Date:  2009-06-05     Completed Date:  2009-08-28     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9604934     Medline TA:  J Orthop Sci     Country:  Japan    
Other Details:
Languages:  eng     Pagination:  285-91     Citation Subset:  IM    
Department of Orthopaedic Surgery, Hyogo College of Medicine, 1-1 Mukogawa-cho, Nishinomiya, Hyogo 663-8501, Japan.
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MeSH Terms
Arthroplasty, Replacement, Hip / adverse effects*,  rehabilitation
Follow-Up Studies
Middle Aged
Osteolysis / etiology,  surgery*
Range of Motion, Articular
Recovery of Function
Renal Dialysis / adverse effects
Survival Analysis
Synovitis / etiology,  surgery*

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