Total hip replacement in renal transplant recipients with aseptic necrosis of the femoral head.

Aseptic necrosis of the femoral head is a complication of renal transplantation which seriously delays the rehabilitation of the patient despite otherwise successful transplantation. Of 187 renal allograft recipients, 8 underwent 14 total hip replacements. The most severe postoperative problem was an easily reducible dislocation. All patients were relieved of their severe preoperative pains and all were greatly improved in mobility and strength. Renal function was not altered in any patient. It is therefore suggested that total hip replacement be recommended in such cases at an early stage so that the patient may be spared prolonged suffering and may be returned to a programme of post-transplant rehabilitation.