Total hip arthroplasty in patients with renal failure: a comparison between transplant and dialysis patients

This study analyzed the outcome of total hip arthroplasty (THA) from a single institution of patients with renal failure, including renal dialysis patients (9 patients, 9 hips) and renal transplant patients (28 patients, 36 hips). There were 12 revisions and a 61% complication rate in the transplant...

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Bibliographic Details
Published in:The Journal of arthroplasty 2006-04, Vol.21 (3), p.324-329
Main Authors: Shrader, M Wade, Schall, David, Parvizi, Javad, McCarthy, James T, Lewallen, David G
Format: Article
Language:English
Subjects:
Adolescent
Adult
Aged
Arthroplasty, Replacement, Hip
Comorbidity
Female
Femur Head Necrosis - epidemiology
Femur Head Necrosis - surgery
Humans
Kidney Failure, Chronic - epidemiology
Kidney Failure, Chronic - surgery
Kidney Failure, Chronic - therapy
Kidney Transplantation
Male
Middle Aged
Postoperative Complications
Renal Dialysis
Reoperation - statistics & numerical data
Treatment Outcome
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Summary:This study analyzed the outcome of total hip arthroplasty (THA) from a single institution of patients with renal failure, including renal dialysis patients (9 patients, 9 hips) and renal transplant patients (28 patients, 36 hips). There were 12 revisions and a 61% complication rate in the transplant group. In the dialysis group, 1 patient was revised, and there was a 33% complication rate. Transplant patients were younger, more active, and lived longer, but had higher cumulative rates of revision and complications with longer follow-up. Dialysis patients, in contrast, had a short survival but a lower rate of complications and revisions. These data differ from previous reports of acceptable outcomes with low complication rates of THA in transplant patients. Efforts to minimize complications in these patients are justified.
ISSN:0883-5403
DOI:10.1016/j.arth.2005.07.008