title: Total hip arthroplasty in patients dialyzed or with renal transplants.
abstract: The authors present 15 cases of hyp arthroplasty implanted in patients affected with necrosis of the femoral head, which were undergoing periodic hemodialitic treatment, or with renal transplants. Ceramic-ceramic prostheses were prevalently used and only in 1 case was a metal-polyethylene prosthesis used. Because of precarious mineralization a cemented prosthesis was implanted in dialyzed patients; in renal transplants, instead, cemented or cementless prosthesis were used depending on the state of the bone. There was a high percentage of excellent results after 2-8 years (87%), and this confirms the validity of surgical indications for the use of arthroplasty in hips affected with epiphyseal necrosis in order to favor functional recovery: considering the young age od the patients, this helps them to go back to being a part of society, and to recover psychologically.
authors.affiliation: IV Divisione, Istituto Ortopedico Rizzoli, Bologna.
authors.forename: G
authors.initials: G
authors.lastname: Gualtieri
authors.forename: G
authors.initials: G
authors.lastname: Vellani
authors.forename: D
authors.initials: D
authors.lastname: Dallari
authors.forename: L
authors.initials: L
authors.lastname: Catamo
authors.forename: I
authors.initials: I
authors.lastname: Gualtieri
authors.forename: F
authors.initials: F
authors.lastname: Fatone
authors.forename: V
authors.initials: V
authors.lastname: Bonomini
mesh_terms: D000328:Adult; D005260:Female; D005271:Femur Head Necrosis / Q000601:surgery*; D005500:Follow-Up Studies; D006622:Hip Prosthesis; D006801:Humans; D016030:Kidney Transplantation; D008297:Male; D008875:Middle Aged; D006435:Renal Dialysis; D013997:Time Factors