NEGLECTED BILATERAL FEMORAL NECK FRACTURES IN A PATIENT WITH END-STAGE RENAL DISEASE BEFORE CHRONIC DIALYSIS

Kuei-Hung Hung, Chien-Te Lee, Yih-Lan Gau, Jin-Bor Chen
2001 Renal Failure  
RESULTS Patient in both groups had statistically similar demographics and comorbidity scores except for a higher incidence of hyperparathyroidism in ESRD patients on chronic dialysis (nine patients vs. zero patients; p = 0.001). These patients were more likely to develop cardiopulmonary complications in the perioperative period (odds ratio [OR] 5.04; p = 0.04) and implant loosening on radiographic analysis (OR 8.75; p = 0.02). The incidence of loosening was higher in patients with
more » ... with hyperparathyroidism (OR 9.80; p = 0.002). Cemented techniques, however, did not appear to be significantly associated with intraoperative fractures or loosening. CONCLUSION Patients with ESRD on chronic dialysis were more likely to develop cardiopulmonary complications and implant loosening after hemiarthroplasty for femoral neck fractures. Hyperparathyroidism should be optimised, as it may prevent loosening. Our study did not show any difference in complications or outcomes for cemented fixation.
doi:10.1081/jdi-100108194 pmid:11777322 fatcat:ocnh2vtksvbqdhiyjo4v6tmmba