Foot and Ankle
Seyed Alireza Aminjavaheri; Seyed Hossein Shafiei; Mohammad Ali Ghasemi; Alireza Moharrami; Mir Mansour Moazen Jamshidi; Seyed Mohammad Javad Mortazavi
Abstract
Introduction: The risk of femoral neck fracture increases in the End Stage Renal Disease (ESRD) patients who underge hemodialysis. The aim of this study was to describe our experience with the treatment of femoral neck fracture in this particular group of patients. Method: In a retrospective study, between ...
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Introduction: The risk of femoral neck fracture increases in the End Stage Renal Disease (ESRD) patients who underge hemodialysis. The aim of this study was to describe our experience with the treatment of femoral neck fracture in this particular group of patients. Method: In a retrospective study, between January 2010 to December 2015, there were 16 displaced femoral neck fracture in 12 haemodialytic ESRD patient. All patients underwent total hip arthroplasty via direct anterior approach (three cementless and 9 cemented). No closed suction drain was used. Follow up regime was at 3,6 and 12 month and annually thereafter. Result: All patients were satisfied with the results of total hip arthroplasty. At the time of the final follow-up of 22 months (2-47) months, all the hips in the 12 haemodialytic patients functioned well without any loosening, and with a Harris hip score (HHS) of 90(82–100). Of those patients who received cementless components: one patient showed loosening of femoral component on the right and then left hip one year after surgery. He underwent revision of femoral component to a cemented one. The other complications include one greater trochanteric fracture, one intraoperative distal femoral fracture, one postoperative hematoma formation and one superficial surgical site infection. Conclusion: In this small series, relatively high complication rate is observable in cases of ESRD with femoral neck fracture treated by hip Arthroplasty. The use of cemented femoral sterns is preferred and extra caution is advised to avoid fracture in such osteoporotic bones.
Javad Mortazavi; mohammad ali ghasemi; Alireza Amin Javaheri
Abstract
Leg Length Discrepancy (LLD) after Total Hip Arthroplasty (THA) is a prevalent complication that affects the patient's satisfaction with joint replacement surgery. It is the most common reasons for a patient's complaint of a doctor after a joint replacement. Patients will tolerate limb shortness more ...
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Leg Length Discrepancy (LLD) after Total Hip Arthroplasty (THA) is a prevalent complication that affects the patient's satisfaction with joint replacement surgery. It is the most common reasons for a patient's complaint of a doctor after a joint replacement. Patients will tolerate limb shortness more efficiently than their longevity. The LLD will create pain and limpness for the patients that result in premature aseptic loosening and back pain. Therefore, the surgeon should try to avoid this complication with the help of preoperative templating and various other methods during the operation. The present study examined the reasons for LLD and its preventive procedures in pre/intra-operation.
