| Theme | Bone Fracture in Patients with Renal Replacement Therapy | |
|---|---|---|
| Title | Characteristics of the fractures in the hemodialyzed patients | |
| Publish Date | 1999/07 | |
| Author | Tatsuhiko Tanizawa | Department of Orthopedics Surgery, Niigata University School of Medicine |
| [ Summary ] | Rib fractures are considered to be the most frequent type seen in hemodialyzed patients. Since there have been no epidemiological studies conducted to investigate of the incidence fractures, precise of incidence fractures has not been well understood in these patients. Despite this, a study in our area revealed that the hip fracture incidence in these patients is much higher that of the general population in this area. One of the characteristics of the fractures seen in these patients is that many are non-traumatic pathological fractures. Cystic bone lesions caused by dialysis amyloidosis are frequently observed in the hip joints, and may result in pathological fractures in these patients. Preventive surgical debridement with bone grafting is recommend. Delayed union is another characteristic seen in fractures with these patients, especially in cases with secondary hyperparathyroidism. Simultaneous parathyroidectomy at the time of fracture surgery is preferable in facilitating sound bone union. |
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