Operative Treatment of Hip Disease in Patinets with Renal Failure.

  • Ide Shuya
    Department of Orthopaedic Surgery, Nagasaki Chuo National Hospital
  • Sumi Mitsuhiro
    Department of Orthopaedic Surgery, Nagasaki Chuo National Hospital
  • Maeda Kazushige
    Department of Orthopaedic Surgery, Nagasaki Chuo National Hospital
  • Kushida Manabu
    Department of Orthopaedic Surgery, Nagasaki Chuo National Hospital
  • Yamaguchi Tetsuo
    Department of Orthopaedic Surgery, Nagasaki Chuo National Hospital
  • Motokawa Satoru
    Department of Orthopaedic Surgery, Nagasaki Chuo National Hospital
  • Maeda Hiroshi
    Department of Orthopaedic Surgery, Wajinkai Hospital

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Other Title
  • 腎不全患者における股関節疾患の治療経験

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Abstract

We experienced 10 cases with hip disease for renal failure for 5 years. 10 patients with an average age of 54.3 years underwent operative treatment. They consisted of 3 hip fractures, 2 avascular necrosis of the femoral head, 2 coxarthrosis' and 3 ectopic calcification of the hip joint. The average hemodialysis period was 9.3 years, and the average follow-up period was 2.9 years.<br>1 femoral neck fracture case showed nonunion after fixation with screws, for which we performed cemented bipolar hemiart-hroplasty. Revision was however required due to osteolysis around the prosthesis. Because the ratio of loosening due to hemodialys is still high, further tmprorement of the operation is neccessary.

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