Total hip arthroplasty in hemodialysis and renal transplant patients

Vascular intrapelvic complications due to total hip arthroplasty failure are uncommon, with less than 30 cases reported in the literature. Herein, we report a case of unusual asymptomatic delayed vascular complication after 10 years from right total hip arthroplasty. A man in mid-50s, with multiple comorbidities including end-stage renal disease. The patient was admitted for the renal transplant surgery. Intraoperatively, right external iliac artery pseudoaneurysm was discovered, which required the transplantation to be done on the left side. After recovery from the renal transplant surgery, the patient underwent resection of the right external iliac artery pseudoaneurysm with primary anastomosis by vascular surgery, with resection of the migrated screw by orthopaedic surgery.

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Total Hip Arthroplasty in Very Young Bone Marrow Transplant Patients

The Duke Orthopaedic Journal ◽

10.5005/jp-journals-10017-1044 ◽

2014 ◽

Vol 4 (1) ◽

pp. 19-23

Author(s):

Samuel S Wellman ◽

Cameron Ledford ◽

Alexander R Vap

Keyword(s):

Bone Marrow ◽

Total Hip Arthroplasty ◽

Bone Marrow Transplant ◽

Hip Arthroplasty ◽

Young Patients ◽

Marrow Transplant ◽

Allogeneic Bone ◽

Total Hip ◽

Transplant Patients

ABSTRACT Concerns remain about total hip arthroplasty (THA) performed in very young patients, especially those with complex medical history such as allogeneic bone marrow transplantation (ABMT). This study retrospectively reviews the perioperative courses and functional outcomes of ABMT patients <21 years old undergoing primary uncemented THA. Nine THAs were performed in five ABMT patients at an average age of 19.7 years. The interval between ABMT and THA was 73.0 months with clinical follow-up of 25.8 months. Harris Hip Scores (HHS) increased dramatically from preoperatively 44.5 (31.1-53.4) to postoperatively 85.2 (72.0-96.0) and all patients subjectively reported a good (4 hips) to excellent (5 hips) overall outcome. There was one reoperation for periprosthetic fracture fixation but there were no infections or revisions performed. Despite the history of severe hematopoietic conditions requiring ABMT, these very young patients do appear to have improved pain and function following primary THA with short-term follow-up. These results are comparable to prior studies of adult ABMT patients undergoing THA and are encouraging given the complexity of the decision to perform hip arthroplasty in the medically complicated very young patient. Ledford CK, Vap AR, Bolognesi MP, Wellman SS. Total Hip Arthroplasty in Very Young Bone Marrow Transplant Patients. The Duke Orthop J 2014;4(1):19-23.

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The Early Results of a Cementless Total Hip Arthroplasty in Femoral Head Necrosis in Renal Transplant Recipients

The Journal of the Korean Orthopaedic Association ◽

10.4055/jkoa.2007.42.1.45 ◽

2007 ◽

Vol 42 (1) ◽

pp. 45

Author(s):

Jin Ho Lee ◽

Sang Gwon Cho ◽

Taek Rim Yoon ◽

Sang Jin Park ◽

Eun Kyoo Song ◽

...

Keyword(s):

Renal Transplant ◽

Femoral Head ◽

Total Hip Arthroplasty ◽

Hip Arthroplasty ◽

Femoral Head Necrosis ◽

Renal Transplant Recipients ◽

Transplant Recipients ◽

Total Hip ◽

Cementless Total Hip Arthroplasty ◽

Early Results

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Renal Transplant Infarction During Total Hip Arthroplasty

Clinical Orthopaedics and Related Research ◽

10.1097/00003086-198205000-00028 ◽

1982 ◽

Vol &NA; (165) ◽

pp. 195???196

Author(s):

CLARENCE E. ZIMMERMAN ◽

HARRIS S. YETT

Keyword(s):

Renal Transplant ◽

Total Hip Arthroplasty ◽

Hip Arthroplasty ◽

Total Hip

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Outcomes of total hip arthroplasty in haemodialysis and renal transplant patients: systematic review

Hip International ◽

10.1177/1120700019877835 ◽

2019 ◽

pp. 112070001987783 ◽

Cited By ~ 2

Author(s):

Ravi Popat ◽

Adam M Ali ◽

Ian P Holloway ◽

Khaled M Sarraf ◽

Sammy A Hanna

Keyword(s):

Systematic Review ◽

Renal Failure ◽

Renal Transplantation ◽

Renal Transplant ◽

Total Hip Arthroplasty ◽

Functional Outcome ◽

Hip Arthroplasty ◽

Revision Rate ◽

Deep Infection ◽

Transplant Patients

Background: Chronic renal failure is increasing in prevalence and reported to have deleterious effects on the outcome of total hip arthroplasty (THA). Aim: To investigate the clinical and functional outcomes of THA in patients receiving haemodialysis or who have previously undergone renal transplantation. Methods: Systematic review of the literature using bibliographic databases up to July 2018 to determine the functional outcome, complications and revision rates of THA in patients receiving haemodialysis for end-stage renal failure and those with a previous renal transplant. Results: 25 studies were identified with a total of 797 THAs. 166 patients (20.8%) were receiving haemodialysis and 631 patients (79.2%) had undergone transplantation. All studies reported a marked improvement in hip function following THA. There were 27 failures (15.7% revision rate) in the haemodialysis group and 101 failures (16.0% revision rate) in the transplant group. The revision rate for cemented implants was higher in haemodialysis versus transplant patients (23% vs. 15%), with the converse being true for uncemented implants (3.8% vs. 6.9%). The deep infection rate was higher in the haemodialysis group (10.8% vs. 2.1%). Conclusions: Patients receiving haemodialysis or with a history of renal transplantation can expect good functional outcome following THA. However, the revision rate and deep infection rate are higher than would be expected in patients receiving THA for primary OA. Aseptic loosening is the most common reason for revision. Uncemented implants appear to be associated with lower failure rates both in haemodialysis patients and those who have had a transplant.

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