Department of Orthopedics, Chang Gung Memorial Hospital, Taoyuan, Taiwan.
Acta Orthop. 2010 Apr;81(2):178-82. doi: 10.3109/17453671003628749.
Whether or not uncemented total hip arthroplasty (THA) can achieve durable fixation of implants to bone in patients on chronic hemodialysis is unknown. We analyzed the 2-13-year clinical outcomes of cementless THA in patients with end-stage renal diseases who were maintained on long-term hemodialysis.
We reviewed the outcome of 23 consecutive uncemented THAs undertaken between 1993 and 2004, in patients with chronic renal failure who had been on long-term hemodialysis (2-18 years). 1 patient died and 2 patients were lost to follow-up within 2 years, leaving 20 hips (20 patients, median age 66 (38-81) years at the time of THA, 11 females) that were reviewed at median 7 (2-13) years postoperatively.
Radiographic bone-ingrowth fixation of the components was found in 19 patients. 1 patient had aseptic loosening requiring revision surgery. The median d'Aubigne and Postel score was 10 (8-14) preoperatively and 15 (12-18) at final review. No prosthetic infections were found in any of the patients.
Uncemented THA shows promising medium-term results in patients receiving long-term hemodialysis.
对于长期接受血液透析的慢性肾脏病患者，非骨水泥全髋关节置换术（THA）是否能使植入物与骨实现持久固定仍不得而知。我们分析了 23 例长期接受血液透析的终末期肾脏病患者接受非骨水泥 THA 的 2-13 年临床结果。
我们回顾了 1993 年至 2004 年间进行的 23 例连续非骨水泥 THA 的结果，这些患者患有慢性肾功能衰竭，长期接受血液透析（2-18 年）。1 例患者死亡，2 例患者在 2 年内失访，20 髋（20 例患者，THA 时的中位年龄为 66（38-81）岁，女性 11 例）在术后中位 7（2-13）年时接受了随访。
19 例患者的组件出现了放射学骨长入固定。1 例发生无菌性松动，需要翻修手术。术前 d'Aubigne 和 Postel 评分中位数为 10（8-14），末次随访时为 15（12-18）。所有患者均未发现假体感染。
非骨水泥 THA 为长期接受血液透析的患者提供了有前景的中期结果。
