Cementless Total Hip Arthroplasty in Patients with Osteonecrosis After Kidney Transplantation

Chang, Jae Suk; Han, Duck Jong; Park, Su-Kil; Sung, Jung-Hwan; Ha, Yong‐Chan

doi:10.1016/j.arth.2013.01.020

Cited by 31 publications

(16 citation statements)

References 33 publications

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“…One study done before 1990 demonstrated that total hip arthroplasty in patients with osteonecrosis had a 17% revision rate at a mean of nine years, while total hip arthroplasties in studies done after 1990 had a 3% revision rate at a mean follow-up of six years 127 . Excellent survivorship at follow-up intervals of greater than ten years suggests that osteonecrosis does not lead to inferior outcomes with modern techniques and implants 273,278,279,285,[287][288][289]292,296,298 . Recent radiostereometric analysis studies have shown low wear rates and excellent survivorship rates at ten years postoperatively [305][306][307] .…”

Section: Total Hip Arthroplastymentioning

confidence: 99%

Nontraumatic Osteonecrosis of the Femoral Head: Where Do We Stand Today?

Mont

Cherian

Sierra

et al. 2015

The Journal of Bone and Joint Surgery

439

436

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➤ Although multiple theories have been proposed, no one pathophysiologic mechanism has been identified as the etiology for the development of osteonecrosis of the femoral head. However, the basic mechanism involves impaired circulation to a specific area that ultimately becomes necrotic.➤ A variety of nonoperative treatment regimens have been evaluated for the treatment of precollapse disease, with varying success. Prospective, multicenter, randomized trials are needed to evaluate the efficacy of these regimens in altering the natural history of the disease.➤ Joint-preserving procedures are indicated in the treatment of precollapse disease, with several studies showing successful outcomes at mid-term and long-term follow-up.➤ Studies of total joint arthroplasty, once femoral head collapse is present, have described excellent outcomes at greater than ten years of follow-up, which is a major advance and has led to a paradigm shift in treating these patients.➤ The results of hemiresurfacing and total resurfacing arthroplasty have been suboptimal, and these procedures have restricted indications in patients with osteonecrosis of the femoral head.

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Section: Total Hip Arthroplastymentioning

confidence: 99%

Nontraumatic Osteonecrosis of the Femoral Head: Where Do We Stand Today?

Mont

Cherian

Sierra

et al. 2015

The Journal of Bone and Joint Surgery

439

436

View full text Add to dashboard Cite

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“…In addition, the need for long-term corticosteroid use will continue to contribute to the rise in shoulder arthroplasties as more patients have avascular necrosis. Hip and knee replacements have been shown to be successful in patients who have undergone prior solid organ transplantation 6,15,22 ; however, there is an increased risk of various complications, including infections. Most authors attribute the increased risk of complications to the patients' immunosuppressive regimens.…”

Section: Discussionmentioning

confidence: 99%

“…In the lower extremity, although joint replacements are highly successful in these patients, there has been a documented potential increased risk of complications, particularly periprosthetic infection. 6,15,16 On the other hand, there is a lack of knowledge in terms of the upper extremity because only a few studies with very small numbers of patients have examined the clinical outcomes of shoulder arthroplasties in patients who had a prior solid organ transplant. 4,26 The purpose of this study was to determine the outcomes of shoulder arthroplasty in patients with immunosuppression following solid organ transplantation, examining complications and clinical shoulder function.…”

mentioning

confidence: 99%

Shoulder arthroplasty in patients with immunosuppression following solid organ transplantation

Hatta

Statz

Cofield

et al. 2020

Journal of Shoulder and Elbow Surgery

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“…37 However, even in these high-risk groups, outcomes of THR have improved over time. [58][59][60] Ilyas and Moreau 58 evaluated 18 consecutive patients with a mean age of 28 years (17 to 39) who had undergone simultaneous bilateral cementless bipolar hip replacements. At a mean follow-up of 5.7 years (2 to 10) they reported that no femoral stem was revised.…”

Section: Thr For Osteonecrosis In High-risk Groupsmentioning

confidence: 99%

Osteonecrosis of the femoral head

Issa

Pivec

Kapadia

et al. 2013

The Bone & Joint Journal

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Symptomatic hip osteonecrosis is a disabling condition with a poorly understood aetiology and pathogenesis. Numerous treatment options for hip osteonecrosis are described, which include non-operative management and joint preserving procedures, as well as total hip replacement (THR). Non-operative or joint preserving treatment may improve outcomes when an early diagnosis is made before the lesion has become too large or there is radiographic evidence of femoral head collapse. The presence of a crescent sign, femoral head flattening, and acetabular involvement indicate a more advanced-stage disease in which joint preserving options are less effective than THR. Since many patients present after disease progression, primary THR is often the only reliable treatment option available. Prior to the 1990 s, outcomes of THR for osteonecrosis were poor. However, according to recent reports and systemic reviews, it is encouraging that with the introduction of newer ceramic and/or highly cross-linked polyethylene bearings as well as highly-porous fixation interfaces, THR appears to be a reliable option in the management of end-stage arthritis following hip osteonecrosis in this historically difficult to treat patient population.

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Cementless Total Hip Arthroplasty in Patients with Osteonecrosis After Kidney Transplantation

Cited by 31 publications

References 33 publications

Nontraumatic Osteonecrosis of the Femoral Head: Where Do We Stand Today?

Nontraumatic Osteonecrosis of the Femoral Head: Where Do We Stand Today?

Shoulder arthroplasty in patients with immunosuppression following solid organ transplantation

Osteonecrosis of the femoral head

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