Effects of hip arthroplasty in long-term dialysis patients and literature analysis
ZHANG Qing-wen
HE Wei
CHEN Lei-lei
FANG Bin
CHEN Zhen-qiu
ZENG Yi-rong
Abstract： Objective To investigate the effects and matters needing attention of hip arthroplasty in long-term dialysis patients. Methods 5 long-term dialysis patients ( 6 hips ) with end-stage renal disease underwent hip arthroplasty in our center, and the surgical effects were retrospectively analyzed. Among them, there were 3 cases of femoral neck fractures, 1 case of osteonecrosis of the femoral head and 1 case of hip osteoarthritis, with a mean age of 42.8 years old ( range;18-57 years ). 3 patients underwent total hip arthroplasty ( THA ), and 2 patients underwent femoral head replacement ( FHR ). The hip pain and function of all patients were evaluated by the Harris Hip Score ( HHS ) system. Otherwise, Pubmed, Medline, Embase, Wanfang Database, Chinese Biomedical Literature Database ( CBM ) and Chinese Science &Technology Journal Database were searched for related articles published in the past 13 years ( 2000-2012 ). At the same time, published orthopedic papers were found by manual searching, and attached references were consulted. And then the literatures included were analyzed and discussed. Results The mean follow-up period was 26.8 months ( range; 8-45 months ). There was no death case postoperatively. No infection or prosthetic loosening was developed in all 6 hips. The average HHS was increased from 24.6 points ( range;4-62 points ) preoperatively to 84.8 points ( range;80-90 points ) postoperatively. All 5 patients were satisfied with the hip function and joint stability. The surgical approach of hip arthroplasty, prosthesis selection, perioperative management, effects, complications and so on in long-term dialysis patients with end-stage renal disease were described in a total of 10 literatures. Conclusions The short-term follow-up results were satisfactory in long-term dialysis patients with hip arthroplasty. Based on the literature research, with the proper surgical approach, prosthesis selection, perioperative management and postoperative kidney expert assistance, better short-term results can be obtained in long-term dialysis patients with hip arthroplasty.
Keywords：Renal insufficiencychronicArthroplastyreplacementhipRenal dialysisBibliometrics
Publication Date：2013-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：6( 438-443 )