Postoperative Impact of Diabetes, Chronic Kidney Disease, Hemodialysis, and Renal Transplant After Total Hip Arthroplasty

Complications and Readmission Incidence Following Total Hip Arthroplasty in Patients Who Have End-Stage Renal Failure

“…In our opinion, patients dislocate probably due to lack of soft tissue tone and muscle atrophy leading to increased laxity and subsequent dislocation. Contrary to our findings, Kildow et al [12] demonstrated an increased dislocation rate at 90 days and 2 years among renal transplant patients compared to nonrenal patients. They included CKD patients who had diabetes in stages 1 to 4 and compared them to a cohort of only diabetic patients.…”

“…Both the dialysis group and renal transplant group had similar 5-year DVT rates which were higher when compared to the nonrenal group. Similar to our results, Kildow et al [12] found increased rates of PJI and dislocation at 90 days and 2 years postoperatively when comparing dialysis patients to nonrenal patients. Our study demonstrated that 5-year rates of PJI and dislocation were higher among dialysis-dependent patients compared to nonrenal patients.…”

“…Lieu et al [8] also reported higher infection rates in dialysis patients compared to renal transplant patients with rates of 8.5% and 4.5%, respectively. Kildow et al [12] reported no difference in PJI between renal transplant patients and nonrenal transplant patients, furthermore, supporting our findings.…”

“…Postoperative complication rates such as deep vein thrombosis (DVTs), PJIs, and dislocation rates were investigated in each group and found to be higher in dialysis patient compared to renal transplant patients. Previous studies have reported higher rates of DVT in dialysis-dependent patients compared to nonrenal patients [7,12,19]. Both the dialysis group and renal transplant group had similar 5-year DVT rates which were higher when compared to the nonrenal group.…”

Rapid return to function and stability with dual mobility components cemented into an acetabular reconstructive cage for large osseous defects in the setting of periacetabular metastatic disease

“…In our series, two patients were treated for postoperative infections, an incidence rate similar to previous studies . Both of the infections occurred in patients who received radiation therapy before surgery, and one of the patients was on hemodialysis, placing them at an even higher risk for infection . Treatment of postoperative infection in these patients can be challenging, as the goal is often to balance morbidity of additional interventions with the patients' goals and life expectancy.…”