The Journal of Bone and Joint Surgery, Vol 77, Issue 10 1535-1542, Copyright © 1995 by Journal of Bone and Joint Surgery, Inc
Total hip arthroplasty with cement after renal transplantation. Long-term results
EY Cheng, JE Klibanoff, HJ Robinson and DS Bradford
Department of Orthopaedic Surgery, University of Minnesota, Minneapolis 55455, USA.
Fifty patients with osteonecrosis following a renal transplantation were
managed with a total of seventy-six total hip arthroplasties with cement
between 1972 and 1982 at the University of Minnesota. The minimum duration
of follow-up was ten years. With use of Kaplan-Meier survivorship analysis,
with revision for any reason as the end point, the over-all rate of
survival of the implants in all patients was 91 +/- 7 per cent (mean and
two standard errors of the mean, 95 per cent confidence interval) at five
years and 78 +/- 11 per cent at ten years. The prostheses in the patients
who were more than forty years old had a rate of survival of 87 +/- 18 per
cent and 72 +/- 30 per cent at five and ten years, respectively, compared
with 92 +/- 7 per cent and 80 +/- 12 per cent for the patients who were
less than forty years old. The acetabular components had a 94 +/- 6 per
cent rate of survival at five years and an 86 +/- 9 per cent rate at ten
years. The femoral components had a 97 +/- 4 per cent rate at five years
and an 87 +/- 9 per cent rate at ten years. We concluded that the results
of total hip arthroplasty with cement after renal transplantation are
satisfactory and are comparable with those for patients of similar age who
have not had a renal transplantation.(ABSTRACT TRUNCATED AT 250 WORDS)
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