Total hip arthroplasty in patients on long-term renal dialysis.
End-stage renal failure patients on long-term renal dialysis who underwent total hip arthroplasty (THA) were followed. Fifteen hips were implanted in 12 patients. There was a high mortality (58%) and high overall early complication rate (58%) with a deep infection rate of 13%. Of patients, 76% (n = 11) had good clinicoradiologic outcome of the THA before their death or at their latest follow-up. THA in patients on dialysis, however, should be reserved for those among this group who are expected to have a better life expectancy.
Sakalkale
D P
DP
Department of Orthopaedic Surgery, The Rothman Institute at Thomas Jefferson University, Philadelphia, Pennsylvania 19107, USA.
Hozack
W J
WJ
Rothman
R H
RH
D000328:Adult; D000368:Aged; D019644:Arthroplasty, Replacement, Hip; D005260:Female; D005265:Femoral Neck Fractures / Q000150:complications / Q000601:surgery; D005271:Femur Head Necrosis / Q000150:complications / Q000601:surgery; D006801:Humans; D007676:Kidney Failure, Chronic / Q000150:complications / Q000628:therapy; D008297:Male; D008875:Middle Aged; D010003:Osteoarthritis / Q000150:complications / Q000601:surgery; D006435:Renal Dialysis; D012189:Retrospective Studies; D013997:Time Factors; D016896:Treatment Outcome