Hip Arthroplasty for Osteonecrosis After Renal Transplantation

Murzic, William J.; McCollum, Donald E.

doi:10.1097/00003086-199402000-00030

Cited by 53 publications

(42 citation statements)

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“…In comparison, liver transplant recipients undergo THRA median 35 after transplantation, [16][17][18] similarly to our findings. The cumulative incidence of AVN after liver transplantation has been found to range from 3 to 41%, with 80% of AVNs occurring at the femoral head.…”

supporting

confidence: 90%

Role of total hip replacement arthroplasty between transplantation and acute kidney injury

Guo

Shi

et al. 2014

Renal Failure

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Osteonecrosis of the femoral head is a severely disabling complication of steroid immunosuppression in renal transplant patients. The increased number of patients undergoing transplantation has increased the number of transplant recipients undergoing total hip replacement arthroplasty (THRA). In this study, we retrospectively assessed patients who underwent THRA from May 2004 to February 2014, and evaluated their demographic and clinical characteristics, the results of peri-operative laboratory tests, the amounts of fluids transfused during surgery, and anesthesia time. Our results found that post-operative acute kidney injury (AKI) was significantly associated with transplantation, and transplantation was an independent factor predictive of post-operative AKI, so transplant recipients are at risk for AKI following THRA. Total hip replacement is a safe and effective treatment for transplant recipients and, in view of their limited life expectancy, should be considered at an early stage in their treatment.

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supporting

confidence: 90%

Role of total hip replacement arthroplasty between transplantation and acute kidney injury

Guo

Shi

et al. 2014

Renal Failure

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“…Many haemodialysis and renal transplant patients died before revision or were not fit for revision surgery. 21,[29][30][31][32][33] The numbers of loosened femoral versus acetabular components were roughly equal, suggesting inadequate biological fixation.…”

Section: Discussionmentioning

confidence: 99%

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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“…Early clinical results with uncemented total hip replacement have been promising [7,17,23] but persistent thigh pain, usually attributed to a poor fit of the femoral component, often occurred [1,2,3,5,6,16,20,21,24,25,31,32,34,36,37]. A recent study in another Asian population gave a similar high incidence of thigh pain compared to other Caucasian reports [27].…”

Section: Introductionmentioning

confidence: 99%

Uncemented porous-coated anatomic total hip replacement in Chinese patients

Chiu

Wang

Chan

1995

International Orthopaedics

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Primary uncemented Porous-Coated Anatomic total hip replacement was carried out in 72 hips in 62 Chinese patients. Their average age was 50 years and the average follow up was 3 1/2 years. The most common diagnosis was avascular necrosis. The average preoperative Harris score of 36.3 points improved to 83.2 at the last follow up. The pain score improved from 13.7 out of 44 to an average of 42. Seven of 8 hips with thigh pain had an inadequately fitting stem which had subsided. Only one cup was revised because of a technical error and one femoral component for loosening. Uncemented Porous-Coated Anatomic total hip replacement gave good early results in Chinese patients.

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Hip Arthroplasty for Osteonecrosis After Renal Transplantation

Cited by 53 publications

References 0 publications

Role of total hip replacement arthroplasty between transplantation and acute kidney injury

Role of total hip replacement arthroplasty between transplantation and acute kidney injury

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

Uncemented porous-coated anatomic total hip replacement in Chinese patients

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