| [ Summary ] |
Orthopaedic disorders secondary to dialysis involve muscular weakness, dialytic shoulder, carpal tunnel syndrome, spinal disorder, and necrosis of the lower leg. As rehabilitation of muscular weakness, aerobic exercises are usually performed. Many authors have reported that the results were effective. For dialytic shoulder and carpal tunnel syndrome, secondary to dialytic amyloidosis, arthroscopic release operations are usually indicated. The results of such arthroscopic operations are reported to be superior to the open method. In spinal disorders, due to amyloidosis, soft tissues such as ligaments and discs are typically affected, these findings are detected more easily with MRI than with X-ray examination. In cases of lower limb amputation, due to ischemic necrosis, secondary to dialysis, it is often difficult to repair the skin. We usually use the sagittal incision technique for below-knee amputations of ischemic limbs, in order to reduce the risk of skin necrosis. The results of this amputation technique have been reported to be better than those from the long posterior technique. A total surface bearing (TSB) socket is indicated as a prosthesis for ischemic limbs after below-knee amputations. |