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The Journal of Bone and Joint Surgery 79:1402-3 (1997)
© 1997 The Journal of Bone and Joint Surgery, Inc.

Case Report

Acute Tubular Necrosis of an Allograft Kidney following Total Hip Replacement. A Case Report*

TODD D. CABLE, M.D.{dagger}, PAUL A. SLOAN, M.D.{dagger} and HERB KAUFER, M.D.{dagger}, LEXINGTON, KENTUCKY

Investigation performed at the University of Kentucky Hospital, Lexington


   Introduction
 
The lateral decubitus position is frequently used for operative procedures on the hip. This position is usually well tolerated by the patient, and complications involving the internal organs are uncommon. We report the case of a patient who had postoperative acute tubular necrosis of a transplanted cadaveric kidney that had been functioning well. This unusual complication followed a left total hip replacement and was thought to be secondary to a positioning device that caused obstruction of the blood supply to the cadaveric kidney.


   Case Report
 
A thirty-seven-year-old man who had steroid-related bilateral degenerative hip disease was scheduled for a left total hip replacement. Five years earlier, a successful transplant of a cadaveric kidney had been performed because of renal failure secondary to poorly controlled hypertension. The kidney had been functioning well, with a usual baseline creatinine level of 1.6 milligrams per deciliter (141 micromoles per liter) (normal range, 0.6 to 1.2 milligrams . . . [Full Text of this Article]


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