Cementless total hip arthroplasty in renal transplant patients.
Twenty-seven cementless total hip arthroplasties were performed in 17 steroid-dependent renal transplant patients. The average age at operation was 39 years, and the average daily dose of prednisone was 10.9 mg. At a mean of 48 months post-surgery, all patients had good to excellent hip ratings on clinical examination and the results compared favorably with 235 non-steroid-dependent age-matched patients using the identical prosthetic hip system. The results of this study suggest that long-term immunosuppression does not prevent bone ingrowth. Noncemented total hip arthroplasty appears to be a reasonable therapeutic option for end-stage osteonecrosis in steroid-dependent renal transplant patients.
Alpert
B
B
Division of Orthopaedics, St. Michael's Hospital, Toronto, Ontario, Canada.
Waddell
J P
JP
Morton
J
J
Bear
R A
RA
D000328:Adult; D000368:Aged; D005260:Female; D005271:Femur Head Necrosis / Q000150:complications / Q000601:surgery*; D005500:Follow-Up Studies; D006622:Hip Prosthesis; D006801:Humans; D016030:Kidney Transplantation; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000601:surgery; D011241:Prednisone / Q000009:adverse effects / Q000627:therapeutic use
D011241:Prednisone