Department of Orthopaedic Surgery, Pusan National University Yangsan Hospital, 20 Geumo-ro, Mulgeum-eup, Yangsan, 626-770, Gyeongsangnam-do, South Korea.
Research Institute for Convergence of Biomedical Science and Technology, Pusan National University School of Medicine, Yangsan, South Korea.
Sci Rep. 2023 Feb 27;13(1):3311. doi: 10.1038/s41598-023-30283-x.
An increasing number of chronic renal failure patients are experiencing hip joint disorders. This study aimed to analyze the outcomes of hip arthroplasty in chronic renal failure patients undergoing dialysis. Of 2364 hips that underwent hip arthroplasty during 2003-2017, 37 were retrospectively examined. Radiological and clinical outcomes of hip arthroplasty, and development of local and general complications during follow-up and their associations with dialysis duration were analyzed. The mean patient age, follow-up duration, and bone mineral density T-score were 60.6 years, 36.6 months, and - 2.62, respectively. Osteoporosis was noted in 20 cases. Most patients who underwent total hip arthroplasty with a cementless acetabular cup implant exhibited excellent radiological outcomes. There were no changes in femoral stem alignment, subsidence, osteolysis, and loosening. Thirty-three patients had an excellent or good Harris hip score. Complications developed in 18 patients within 1 year postoperatively. General complications developed in 12 patients at > 1 year postoperatively; no patient experienced local complications. In conclusion, hip arthroplasty for chronic renal failure patients on dialysis yielded excellent radiological and satisfactory clinical outcomes but may be associated with postoperative complications. Careful preoperative treatment planning and overall postoperative management are required to reduce the complication risk.
越来越多的慢性肾衰竭患者出现髋关节疾病。本研究旨在分析透析治疗的慢性肾衰竭患者髋关节置换术的结果。在 2003 年至 2017 年间进行髋关节置换术的 2364 例髋关节中，回顾性检查了 37 例。分析了髋关节置换术的放射学和临床结果，以及随访期间局部和全身并发症的发展及其与透析时间的关系。患者的平均年龄、随访时间和骨密度 T 评分分别为 60.6 岁、36.6 个月和-2.62。20 例患者存在骨质疏松症。大多数接受非骨水泥髋臼杯植入物全髋关节置换术的患者表现出良好的放射学结果。股骨柄的对线、下沉、骨溶解和松动均无变化。33 例患者的 Harris 髋关节评分优秀或良好。18 例患者在术后 1 年内出现并发症。12 例患者在术后>1 年内出现全身并发症；无患者出现局部并发症。总之，透析治疗的慢性肾衰竭患者髋关节置换术的放射学和临床结果均良好，但可能与术后并发症有关。需要仔细的术前治疗计划和全面的术后管理，以降低并发症风险。
