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Acta Orthop. 2010 Apr;81(2):178-82. doi: 10.3109/17453671003628749.

Uncemented total hip arthroplasty in chronic hemodialysis patients.

Author information

  • 1Department of Orthopedics, Chang Gung Memorial Hospital, Taoyuan, Taiwan.

Abstract

BACKGROUND AND PURPOSE:

Whether or not uncemented total hip arthroplasty (THA) can achieve durable fixation of implants to bone in patients on chronic hemodialysis is unknown. We analyzed the 2-13-year clinical outcomes of cementless THA in patients with end-stage renal diseases who were maintained on long-term hemodialysis.

PATIENTS AND METHODS:

We reviewed the outcome of 23 consecutive uncemented THAs undertaken between 1993 and 2004, in patients with chronic renal failure who had been on long-term hemodialysis (2-18 years). 1 patient died and 2 patients were lost to follow-up within 2 years, leaving 20 hips (20 patients, median age 66 (38-81) years at the time of THA, 11 females) that were reviewed at median 7 (2-13) years postoperatively.

RESULTS:

Radiographic bone-ingrowth fixation of the components was found in 19 patients. 1 patient had aseptic loosening requiring revision surgery. The median d'Aubigne and Postel score was 10 (8-14) preoperatively and 15 (12-18) at final review. No prosthetic infections were found in any of the patients.

INTERPRETATION:

Uncemented THA shows promising medium-term results in patients receiving long-term hemodialysis.

PMID:
20175645
[PubMed - indexed for MEDLINE]
PMCID:
PMC2852153
Free PMC Article
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