Chronic renal failure due to amyloid nephropathy caused by chronic infection after total hip replacement

Nishimura, Shinsuke; Matsumae, Tomoji; Murakami, Yuji; Abe, Yasuhiro; Sasatomi, Yoshie; Nagayoshi, Ikufumi; Ueda, Kazuo; Nakashima, Hitoshi

doi:10.1007/s13730-014-0121-6

Cited by 10 publications

(10 citation statements)

References 27 publications

(22 reference statements)

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“…The most severe complication of joint arthroplasty is periprosthetic infection, which can lead to complications such as sepsis, renal amyloidosis, dystrophic changes in parenchymatous organs, and the appearance of septicopyemic foci [9,17,18]. Two-stage revision remains the gold standard for the treatment of deep periprosthetic hip infection [19].…”

Section: Discussionmentioning

confidence: 99%

The potential for 3D technology to be used in the first-stage periprosthetic hip joint infection treatment

Мурылев¹,

Kukovenko²,

Елизаров³

et al. 2021

Preprint

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Background. In two-stage deep periprosthetic infection treatment, many authors describe mechanical complications associated with the implantation of a spacer in the first stage that affect the functional outcome of the treatment.Purpose. To evaluate the functional results of using 3D spacers for IIIA and IIIB defects according to the classification system described by W.G. Paprosky during the first stage treatment of hip deep periprosthetic joint infection (PJI).Methods. From 2017 to 2020, 24 patients underwent first-stage revision arthroplasty with hip PJI and IIIA and IIIB acetabular bone defects according to the classification system described by W.G. Paprosky. The patients were divided into 2 groups: group 1 received articulating spacers, and group 2 received custom-made spacers made using 3D technology. Function was evaluated by the Harris Hip Score, WOMAC (Western Ontario and McMaster Universities Osteoarthritis Index) and VAS (visual analogue scale). Statistical analyses were performed using IBM SPSS Statistics version 22.0 for Windows. Student's t-test, Wilcoxon's signed-rank test (to compare parameters before and after surgery) and the Mann-Whitney rank-sum test were used.Results. In the first group, the average VAS score was 3.3 (± 1.4), the Harris Hip Score was 51.3 (± 9.4), and the WOMAC score was 42.9 (± 5.9); in the second group, the VAS score was 1.3 (± 0.9), the Harris Hip Score was 69.7 (± 3.6), and the WOMAC score was 30.1 (± 2.4). The rating scale data showed a statistically significant improvement in the function of patients in the second group (p <0.05).Conclusion. Custom-made 3D spacers used during the first stage of treatment for deep periprosthetic hip infection yield larger improvements in function and quality of life than do articulating spacers.Trial registration. Local Ethics Committee at the Sechenov First Moscow State Medical University Ministry of Health of Russia (Sechenov University) № 386 13.12.2016.

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Section: Discussionmentioning

confidence: 99%

The potential for 3D technology to be used in the first-stage periprosthetic hip joint infection treatment

Мурылев¹,

Kukovenko²,

Елизаров³

et al. 2021

Preprint

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“…Okuda, et al 9 reported that the most frequent underlying inflammatory disease provoking AA amyloidosis was rheumatoid arthritis (60.3%). Chronic infection, including postoperative refractory infection, caused AA amyloidosis in 4.5% of cases 10 . Li, et al 11 described a case of chronic diverticulitis inducing AA amyloidosis.…”

Section: Discussionmentioning

confidence: 99%

“…Chronic infection, including postoperative refractory infection, caused AA amyloidosis in 4.5% of cases. 10 Li, et al 11 described a case of chronic diverticulitis inducing AA amyloidosis. In the past, tuberculosis and leprosy were the major source of AA amyloidosis.…”

Section: F I G U R E 3 Gastric Perforation Withmentioning

confidence: 99%

Gastric perforation caused by secondary systemic amyloidosis

Yamamoto

Yokota

Suzuki

et al. 2021

Clinical Case Reports

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Section: Introductionmentioning

confidence: 99%

“…5 Artificial THA is also employed for the treatment of various diseases such as rheumatoid arthritis, congenital hip dysplasia, femoral head aseptic necrosis/ischemic necrosis, femoral neck fracture, and hip tumors. [6][7][8][9][10][11] Although relatively rare, prosthetic hip dislocation is one of the most common postoperative complications in patients undergoing THA. The incidence of this serious complication is second only to that of aseptic loosening of artificial joints.…”

Section: Introductionmentioning

confidence: 99%

Effect of articular capsule repair on postoperative dislocation after primary total hip replacement by the anterolateral approach

Xianzhong

et al. 2019

J Int Med Res

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ObjectiveArtificial hip dislocation is one of the most serious complications following total hip replacement. This study was performed to assess articular capsule repair in primary total hip replacement with the anterolateral approach (Watson-Jones incision) and its effect on postoperative dislocation.MethodsPatients who underwent primary total hip replacement by the anterolateral approach in Tongren Hospital of Shanghai Jiao Tong University School of Medicine from June 2007 to June 2014 were retrospectively analyzed. The patients were divided into the repair and dissection groups based on the articular capsule repair status during surgery. Postoperative dislocation rates were compared between the two groups using the chi-squared test.ResultsThe repair and dissection groups comprised 137 and 248 patients, respectively. All patients were followed up for 6 months to 5 years (average, 3.75 years). The mean age, sex, disease composition, and follow-up time were not significantly different between the two groups. Early postoperative dislocation occurred in 1 hip (0.7%) in the repair group and 13 hips (5.2%) in the dissection group.ConclusionsDuring the anterolateral approach for primary total hip replacement, articular capsule repair may reduce the occurrence of early postoperative dislocation of the hip joint.

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Chronic renal failure due to amyloid nephropathy caused by chronic infection after total hip replacement

Abstract: A 75-year-old woman was admitted to our hospital because of proteinuria, pitting edema on the foot, and renal impairment.

Cited by 10 publications

References 27 publications

The potential for 3D technology to be used in the first-stage periprosthetic hip joint infection treatment

The potential for 3D technology to be used in the first-stage periprosthetic hip joint infection treatment

Gastric perforation caused by secondary systemic amyloidosis

Effect of articular capsule repair on postoperative dislocation after primary total hip replacement by the anterolateral approach

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