[Treatment of femur head necrosis using a total hip prosthesis following kidney transplantation].
From 1972 to 1978 we implanted 30 total hip prostheses in 20 patients with kidney transplant and femoral head necrosis. All were patients who still had immune suppressing drug therapy. To reduce the infection risk the patients had a special preoperative treatment -- single room -- always the same surgeon, short operative procedure in the greenhouse of 45 minutes on an average and only 4 blood infusions. Thereby, we had no complications peroperative and none were observed during the following checks extending from 4 months to 6 years. Hence, we believe that the implantation of total hip prostheses in high risk patients with kidney transplants and femoral head necrosis is recommendable.
D000293:Adolescent; D000328:Adult; D005260:Female; D005271:Femur Head Necrosis / Q000209:etiology / Q000601:surgery*; D005500:Follow-Up Studies; D006622:Hip Prosthesis; D006801:Humans; D007165:Immunosuppression Therapy; D016030:Kidney Transplantation; D008297:Male; D008875:Middle Aged; D010356:Patient Isolation; D011182:Postoperative Care; D011183:Postoperative Complications; D013530:Surgical Wound Infection / Q000517:prevention & control*
Die Behandlung der Femurkopfnekrose nach Nierentransplantation mit der Hüfttotalendoprothese.