The Early Results of a Cementless Total Hip Arthroplasty in Femoral Head Necrosis in Renal Transplant  Recipients

Jin Ho Lee; Sang Gwon Cho; Taek Rim Yoon; Sang Jin Park; Eun Kyoo Song; Jong Keun Seon

doi:10.4055/jkoa.2007.42.1.45

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Lee, Cho, Yoon, Park, Song, and Seon: The Early Results of a Cementless Total Hip Arthroplasty in Femoral Head Necrosis in Renal Transplant Recipients

Original Article

Journal of the Korean Orthopaedic Association

Journal of the Korean Orthopaedic Association 2007; 42(1): 45-52.

Published online: 28 February 2007

DOI: https://doi.org/10.4055/jkoa.2007.42.1.45

The Early Results of a Cementless Total Hip Arthroplasty in Femoral Head Necrosis in Renal Transplant Recipients

Jin Ho Lee, M.D., Sang Gwon Cho, M.D., Taek Rim Yoon, M.D., Sang Jin Park, M.D., Eun Kyoo Song, M.D., Jong Keun Seon, M.D.

Department of Orthopedics, Chonnam National University School of Medicine, Gwangju, Korea.

Center for Joint Disease, Chonnam National University Hwasun Hospital, Jeonnam, Korea.

Address reprint requests to Sang Gwon Cho, M.D. Center for Joint Disease, Chonnam National University Hwasun Hospital, 160, Ilsim-ri, Hwasun-eup, Hwasun-gun, Jeonnam 519-809, Korea. Tel: +82.61-379-7676, Fax: +82.61-379-7681, drjo2023@naver.com

Abstract

Purpose

To analyze the clinical results of cementless total hip arthroplasty (THA) for the treatment for osteonecrosis of the femoral head in renal transplant recipients.

Materials and Methods

Twenty-one cementless THA were performed in 15 renal transplant recipients with advanced osteonecrosis of the hip. The average interval from the transplant to arthroplasty was 43 months (range, 7-122 months). The mean age at the time of arthroplasty was 35 years (range, 25-58 years). The average preoperative Harris hip score was 40 points (range, 31-57 points). The mean follow-up period was 45 months (range, 24-101 months).The articulations were metal-on-polyethylene bearing in 1 case, metal-on-metal in 6 cases, and ceramic-on ceramic in 14 cases.

Results

The average postoperative Harris hip score was 91 points (range, 82-94 points), and there were no problems such as wound healing or infections despite the immunosuppressed state. Radiographically, there was one case of femoral and acetabular osteolysis, which had used metal on polyethylene articulation, 80 months after surgery. There was neither aseptic loosening nor dislocation after an average 45 months. Heterotopic ossification was detected in 1 case.

Conclusion

The early results of a cementless THA in this young group of renal transplant recipients is encouraging.

Keywords: Hip, Osteonecrosis, Total hip arthroplasty, Renal transplantation

Figures and Tables

Fig. 1

(A) Immediate postoperative radiograph of a 32 year old man who had a cementless metal on polyethylene THA is showed. (B) Postoperative 80 months radiograph shows osteolysis in Gruen zone I in the femoral side and DeLee and Charnley zone I in the acetabular side.

Table 1

Patients' Demographic Data

^*, both; ^†, metal on polyethylene; ^‡, metal on metal; ^§, ceramic on ceramic.

Table 2

The Results of Cemented Total Hip Arthroplasty in Renal Transplant Recipients

Table 3

The Results Of Uncemented Total Hip Arthroplasty in Renal Transplant Recipients

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