| Theme |
Orthopedic Diseases Seen in Maintenance Dialysis Patients -- Surgical Indication and Non-indication |
| Title |
Dialysis related hip arthropathy |
| Author |
Shigeo Fukunishi |
Department of Orthopaedic Surgery, Hyogo College of Medicine |
| Author |
Shinichi Yoshiya |
Department of Orthopaedic Surgery, Hyogo College of Medicine |
| [ Summary ] |
Dialysis related hip arthropathy is one complication affecting quality of life for long-term hemodialysis patients. Because of pathological fractures in the femoral neck due to amyloid cysts and substantial joint destruction, which are associated with this disease, total hip arthroplasty (THA) is often indicated. However, the majority of patients in this population experience complications due to both local and systemic morbidities. As a result, the clinical outcome for THA patients has been reported to be unsatisfactory. Considering results of previous studies, we performed preventive internal fixation with bone grafts for treatment of amyloid bone cysts. |