Efficacy of Cementless Total Hip Arthroplasty in Patients on Long-Term Hemodialysis

Nagoya, Satoshi; Nagao, Masafumi; Takada, Junichi; Kuwabara, Hiromichi; Kaya, Mitsunori; Yamashita, Toshihiko

doi:10.1016/j.arth.2004.09.055

Cited by 58 publications

(50 citation statements)

References 11 publications

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“…29 One study reported a complication rate of 35% and did not recommend THR for haemodialysis patients. 21 Although uncemented THR has achieved promising results in recent years, 19,20,37 it is recommended that renal transplantation be performed before THR for those eligible. 36 In 11 studies of renal transplant patients, all concluded that THR was a good option.…”

Section: Discussionmentioning

confidence: 99%

“…Haemodialysis patients usually have a mean of 6 to 18.8 years of dialysis before THR. 11,[19][20][21][22] Renal transplant patients usually undergo THR after a mean of 2.5 to 5 years post-renal transplantation. [23][24][25][26][27] Renal transplant patients are generally younger and healthier than haemodialysis patients.…”

Section: Discussionmentioning

confidence: 99%

“…25 studies involving 755 THRs in 534 patients who were undergoing haemodialysis or had had a renal transplant and then underwent primary THR were reviewed. 11,13, Of the studies, 9 included haemodialysis patients only, 11,[19][20][21][22]36,37,39,40 11 included renal transplant patients only, [23][24][25][26][27]28,[31][32][33]38,41 and 5 included both. 13,29,30,34,35 According to the quality assessment for case series questionnaire of the National Institute for Health and Care Excellence (Table 1), the mean score for study quality was 3.…”

Section: Methodsmentioning

confidence: 99%

See 2 more Smart Citations

Review Article: Total Hip Replacement in Haemodialysis or Renal Transplant Patients

Lieu

Harris

Naylor

et al. 2014

J Orthop Surg (Hong Kong)

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25 studies involving 755 hips in 534 patients were reviewed to determine the complication rates of total hip replacement in haemodialysis or renal transplant patients. In comparison of both groups, renal transplant patients were generally younger and more likely to receive an uncemented implant, whereas haemodialysis patients had approximately twice the infection rate and higher rates of mortality, revision, aseptic loosening, and hip dislocation. Both groups had increased complication rates, compared with patients without renal failure.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

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Review Article: Total Hip Replacement in Haemodialysis or Renal Transplant Patients

Lieu

Harris

Naylor

et al. 2014

J Orthop Surg (Hong Kong)

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“…Patients on dialysis had a significantly increased risk of late infection (8.0%, RR 3.99, P < 0.001) and early revision (3.7%, RR 4.4, P < 0.001). Renal transplant patients had a significantly increased risk of late infection, despite whether the transplantation occurred before TKA (9.1%, RR 4.5, P = 0.03) or at any time (8.0%, RR 4.0, P = 0.05) (17 (20,21).…”

Section: Resultsmentioning

confidence: 97%

Antibiotic Prophylaxis in Periprosthetic Joint Infection (PJI): literature Review and World Consensus (Part Seven)

Parvızı

Ghazavi

2016

Shafa Ortho J

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Context: There is a need to find if patients with poorly controlled diabetes, immunosuppression, or autoimmune disease require different perioperative antibiotic prophylaxis. There is also a need to determine if antibiotic prophylaxis should be different for primary cases, revision cases, hip arthroplasty and knee arthroplasty. The best antibiotic prophylaxis to choose in patients with colonization by carbapenem resistant enterobacteriaceae or multi-drug resistant (MDR)-Acinetobacter spp needs to be determined. Evidence Acquisition: Delegates in workgroup 3 of the consensus meeting on PJI reviewed English literature for relevant articles. 30 of 221 articles were relevant to the 4 following questions regarding perioperative antibiotic prophylaxis to prevent PJI. Results: There is no need to use different antibiotic prophylaxis for patients with poorly controlled diabetes, immunosuppression, or autoimmune disease than routine antibiotic prophylaxis. Perioperative antibiotic prophylaxis should be the same for primary and uninfected revision arthroplasty. Perioperative antibiotic prophylaxis should be the same for hips and knees arthroplasties. There is insufficient data to recommend expanded antibiotic prophylaxis in patients known to be colonized or recently infected with multi-drug resistant pathogens. Conclusions: Based on evidences in the literature and consensus of expert delegates from consensus meeting recommendations for type of antibiotic prophylaxis in patients with poorly controlled diabetes, immunosuppression, or autoimmune disease, primary and uninfected revision arthroplasty, hip or knee arthroplasties and patients known to be colonized or recently infected with multidrug resistant pathogens were provided.

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“…Crowe 제 III형을 포함하거나 5,9) 여러 종류의 대퇴 스템이 사용되었다 10,11) . 이에 본 연구에서는 고관절 고위 탈구 환 자(Crowe 제 IV형)에서 진성 비구에 비구 컵을 위치시키 기 위하여 전자하 단축 절골술을 시행하고 근위 조립식 무 시멘트형 대퇴 스템으로 고정한 고관절 전치환술의 임상 적 및 방사선학적 추시 결과를 보고하고자 한다.…”

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Modular Cementless Total Hip Arthroplasty with Subtrochanteric Shortening Osteotomy in Patients with High Hip Dislocation

et al. 2010

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Purpose: The purpose of this study was to report on the results of performing modular cementless total hip arthroplasty with a simultaneous subtrochanteric shortening osteotomy in patients with high hip dislocation. Materials and Methods:We evaluated 23 patients (24 hips) with high hip dislocation and who had undergone total hip arthroplasty using a proximally modular cementless stem in combination with a subtrochanteric shortening osteotomy in order to place the acetabular cup at the level of the anatomic hip center between May 1996 and June 2008. There were 6 males and 17 females with a mean age of 44 years. The mean duration of follow-up was 5.6 years. Results:The mean Harris hip score improved from 53 points preoperatively to 88 points at the time of final followup (P<0.001), and there were good or excellent results in 21 hips (87.5%). There was one instance of isolated loosening of the acetabular component. With the exception of one hip requiring revision surgery at 12 years postoperatively because of polyethylene wear and cup loosening, all the remaining components were well-fixed at the time of the last follow-up. A total of 4 hips (17%) had complications during follow-up; one dislocation, two transient femoral nerve palsies and one nonunion of the subtrochanteric osteotomy site. Conclusion:Modular cementless total hip arthroplasty with a subtrochanteric shortening osteotomy in patients with high hip dislocation was associated with excellent clinical outcomes while it minimized additional fixation of the osteotomy site.

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Efficacy of Cementless Total Hip Arthroplasty in Patients on Long-Term Hemodialysis

Cited by 58 publications

References 11 publications

Review Article: Total Hip Replacement in Haemodialysis or Renal Transplant Patients

Review Article: Total Hip Replacement in Haemodialysis or Renal Transplant Patients

Antibiotic Prophylaxis in Periprosthetic Joint Infection (PJI): literature Review and World Consensus (Part Seven)

Modular Cementless Total Hip Arthroplasty with Subtrochanteric Shortening Osteotomy in Patients with High Hip Dislocation

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