Shrader M Wade, Schall David, Parvizi Javad, McCarthy James T, Lewallen David G
Department of Orthopedic Surgery, Mayo Clinic and Mayo Foundation, Rochester, Minnesota, USA.
J Arthroplasty. 2006 Apr;21(3):324-9. doi: 10.1016/j.arth.2005.07.008.
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.
本研究分析了来自单一机构的肾衰竭患者行全髋关节置换术（THA）的结果，包括肾透析患者（9例，9髋）和肾移植患者（28例，36髋）。移植组有12例翻修手术，并发症发生率为61%。透析组有1例翻修手术，并发症发生率为33%。移植患者更年轻、活动更多、寿命更长，但随访时间越长，翻修和并发症的累积发生率越高。相比之下，透析患者生存期短，但并发症和翻修率较低。这些数据与之前关于移植患者THA并发症发生率低、结果可接受的报告不同。在这些患者中努力将并发症降至最低是合理的。
