| Results of total hip arthroplasty for dialysis arthropathy in long-term hemodialysis patients. | |
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MedLine Citation:
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PMID: 19499295 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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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. |
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Authors:
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Shigeo Fukunishi; Tomokazu Fukui; Shoji Nishio; Fumiaki Imamura; Kousei Yoh; Shinichi Yoshiya |
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Publication Detail:
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Type: Journal Article Date: 2009-06-05 |
Journal Detail:
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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:
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Created Date: 2009-06-05 Completed Date: 2009-08-28 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 9604934 Medline TA: J Orthop Sci Country: Japan |
Other Details:
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Languages: eng Pagination: 285-91 Citation Subset: IM |
Affiliation:
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Department of Orthopaedic Surgery, Hyogo College of Medicine, 1-1 Mukogawa-cho, Nishinomiya, Hyogo 663-8501, Japan. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Aged Arthroplasty, Replacement, Hip / adverse effects*, rehabilitation Female Follow-Up Studies Humans Male Middle Aged Osteolysis / etiology, surgery* Range of Motion, Articular Recovery of Function Renal Dialysis / adverse effects Survival Analysis Synovitis / etiology, surgery* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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