Calcium Metabolism in Patients on CAPD and Hemodialysis

Kurz, Peter; Tsobanelis, Theoharis; Ewald, Uwe; Roth, P.; Werner, E.; Vlachojannis, John G.

doi:10.1159/000419764

Cited by 1 publication

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“… 19) The differences in fracture risk between dialysis populations may be attributed to hyperparathyroidism in HD patients. PD patients exhibit a lower response of calcium turnover to the action of parathyroid hormone (PTH), 20) which provides some protection against secondary hyperparathyroidism-induced high bone turnover disease. 18) …”

Section: Fractures Of Ckd Patientsmentioning

confidence: 99%

Fracture Management in Chronic Kidney Disease: Challenges and Considerations for Orthopedic Surgeons

Hong,

Kim,

Gong

2024

Clin Orthop Surg

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Orthopedic surgeons treating fractures need to consider comorbidities, including chronic kidney disease (CKD), which affects millions worldwide. CKD patients are at elevated risk of fractures due to osteoporosis, especially in advanced stages. In addition, fractures in CKD patients pose challenges due to impaired bone healing and increased post-fracture complications including surgical site infection and nonunion. In this article, we will discuss factors that must be considered when treating fractures in CKD patients. Perioperative management includes careful adjustment of hemodialysis schedules, selection of anesthetic methods, and addressing bleeding tendencies. Tourniquet usage for fractures in limbs with arteriovenous fistulae should be cautious. Pain medication should be administered carefully, with opioids like hydromorphone preferred over nonsteroidal anti-inflammatory drugs. Medical management after fractures should address underlying factors and include physical rehabilitation to reduce the risk of subsequent fractures. A comprehensive approach to fracture management in CKD patients can improve outcomes.

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Section: Fractures Of Ckd Patientsmentioning

confidence: 99%