Article

Fifteen hips in 13 patients with hip fracture were treated in patients receiving
hemodialysis for chronic renal failure. There were four intertrochanteric and 11
femoral neck fractures. 10 of the 11 femoral neck fractures and one of the four
intertrochanteric fractures were treated with cemented bipolar hemiarthroplasty.
Two intertrochanteric fractures fixed with sliding compression screws. External
fixation was used for stabilization in two patients who had femoral neck and
intertrochanteric fractures. Two intertrochanteric fractures that were treated
with sliding hip screw showed radiological union postoperatively at the 6th
month. Of the 11 hemiarthroplasty, four hips developed aseptic loosening (36%).
According to Harris hip score grading system, three (37.5%) poor, two (25%) fair,
two (25%) good and one (12.5%) case had excellent outcome in the hemiarthroplasty
group. The survival of dialysis patients with a hip fracture is markedly reduced.
Initial treatment of hemiarthroplasty allows early mobilization and prevents
revision surgery.

Langue : ANGLAIS