Theme |
Dialysis related amyloidosis and associated bone and joint disorders |
Title |
Surgical approaches for dialysis related hip arthropathy |
Author |
Shigeo Fukunishi |
Department of Orthopedic Surgery, Hyogo College of Medicine |
[ Summary ] |
Dialysis hip arthropathy is one of the problematic complications affecting quality of life for long-term hemodialysis patients. Pathological fractures of the femoral neck due to amyloid cysts and substantial joint destruction are associated with this disease. THA is often indicated as well. However, the majority of patients in this population experience complications due to both local and systemic morbidities. As a result, the clinical outcome of THA 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. |