Operative treatment of hip fractures in patients receiving hemodialysis


TOSUN B., Atmaca H., Gok U.

Musculoskeletal Surgery, cilt.94, sa.2, ss.71-75, 2010 (Scopus) identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 94 Sayı: 2
  • Basım Tarihi: 2010
  • Doi Numarası: 10.1007/s12306-010-0080-9
  • Dergi Adı: Musculoskeletal Surgery
  • Derginin Tarandığı İndeksler: Scopus
  • Sayfa Sayıları: ss.71-75
  • Anahtar Kelimeler: Arthroplasty, Dialysis, Hip fracture, Implant loosening, Mortality
  • Akdeniz Üniversitesi Adresli: Hayır

Özet

Fifteen hips in 13 patients with hip fracture were treated in patients receiving hemodialysis for chronic renal failure. Therewere four intertrochanteric and 11 femoral neck fractures. 10 of the 11 femoral neck fractures and one of the four intertrochanteric fractures were treated with cemented bipolar hemiarthroplasty. Two intertrochanteric fractures fixed with sliding compression screws. External fixation was used for stabilization in two patients who had femoral neck and intertrochanteric fractures. Two intertrochanteric fractures that were treated with sliding hip screw showed radiological union postoperatively at the 6th month. Of the 11 hemiarthroplasty, four hips developed aseptic loosening (36%). According to Harris hip score grading system, three (37.5%) poor, two (25%) fair, two (25%) good and one (12.5%) case had excellent outcome in the hemiarthroplasty group. The survival of dialysis patients with a hip fracture is markedly reduced. Initial treatment of hemiarthroplasty allows early mobilization and prevents revision surgery. © 2010 Springer-Verlag.