Results of total hip arthroplasty for dialysis arthropathy in long-term hemodialysis patients

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

“…49 In our review of haemodialysis and renal transplant patients, the dislocation rates were 6.5% and 6.0%, respectively. Dislocation is associated with aseptic loosening, 11 septic joints, 34,35 seizure, 36 and early occurrence (within 30 days). 23,27 THR remains a valid option for haemodialysis and renal transplant patients, despite having higher complication rates.…”

“…Only 2 studies were conducted in multiple centres. 19,30 Only 4 studies collected data prospectively, 11,21,34,40 and only half of the studies clearly defined the outcome measures and sufficiently stratified the results to enable comparisons.…”

“…9 This is due to post-transplantation medical therapy and pre-existing damage from pre-transplant dialysis. The number of patients undergoing long-term renal dialysis or with renal transplant is increasing, 10,11 as is the number of these patients undergoing THR. 12 THR improves pain and function in patients with end-stage renal disease or post-renal transplant.…”

“…12 THR improves pain and function in patients with end-stage renal disease or post-renal transplant. 11,13 In patients without renal disease, the 30-and 90-day mortality rates are 0.24% and 0.55%, respectively, 14 and the deep infection rate, revision rate at 10 years, and dislocation rate are <1.1%, <7.5%, and <5.0%, respectively. [15][16][17] In renal transplant patients, cemented THR provides good-to-excellent functional outcomes, despite increased complication rates.…”

Inpatient Mortality and Morbidity for Dialysis-Dependent Patients Undergoing Primary Total Hip or Knee Arthroplasty

“…Surgeons are cautious about treating dialysisdependent patients with arthroplasty, given the high risk of complications and questions regarding survival of the implant. Research regarding the outcomes in this population is limited by small sample sizes [2][3][4][5][6][7][8] . Many studies described surgeries performed in the 1990s or earlier and may not reflect current management.…”