title: Late complications after total hip replacement in renal allograft recipients.
abstract: Seventy nine hips in 53 recipients of renal allografts were treated by cemented total hip replacement for avascular necrosis of the femoral head between 1972 and 1992. Eight hips in 6 patients required revision for aseptic loosening after a mean of 11.2 years. Three replacements in 3 patients became infected with salmonella enteritidis after a mean of 6.2 years. One was revised, one had a disarticulation of the hip, and the third was treated with long term antibiotics. Survivorship analysis for total hip replacement and the renal allografts showed a hip reoperation rate of 9.9% at 10 years and 54.6% at 15 years with mortality rates of 32.2% and 42.2% respectively. Thus patients surviving 15 years are at a higher risk of failure of the prostheses than of dying.
authors.affiliation: Department of Orthopaedic Surgery, School of Medicine, University of Zürich, Switzerland.
authors.forename: J
authors.initials: J
authors.lastname: Romero
authors.forename: A
authors.initials: A
authors.lastname: Schreiber
authors.forename: U
authors.initials: U
authors.lastname: Binswanger
mesh_terms: D000328:Adult; D005271:Femur Head Necrosis / Q000150:complications / Q000601:surgery*; D006622:Hip Prosthesis; D006801:Humans; D016030:Kidney Transplantation / Q000401:mortality; D008875:Middle Aged; D011183:Postoperative Complications / Q000209:etiology*; D011475:Prosthesis Failure; D016459:Prosthesis-Related Infections / Q000601:surgery; D012086:Reoperation; D015996:Survival Rate