The current study retrospectively reviewed the
surgical outcomes following hip fractures in uremic patients undergoing
long-term hemodialysis and compared the results with those of geriatric
patients with osteoporotic hip fractures during 1-year period.Thirteen
complications occurred among the 21 uremic patients who underwent surgical
intervention for a hip fracture. Two complications were related to the failure
of osteosynthesis procedures after femoral neck fractures. While comparing
perioperative parameters between the 2 groups, patients in the uremic group had
younger age, more comorbidities, lower preoperative hemoglobin levels and
platelet counts, and an increased requirement of perioperative blood
transfusion. Statistical analysis revealed a significant increase in incidence
of postoperative complications in the uremic patients; however, the incidence of surgery-related complications was unchanged.
In conclusion, the present study shows that the incidence of perioperative
complications in hip fracture surgeries is higher in uremic patients than those
in geriatric hip fractures, mainly resulting from their comorbidities. In
addition, we recommend hip prosthesis replacement surgery for femoral neck
fractures in uremic patients due to the high rate of implant failure.
Cite this paper
Yu, Y. , Hsu, Y. , Chou, Y. , Tseng, I. , Yeh, W. and Wu, C. (2018). Higher Complication Rate Following Hip Fractures in Uremic Patients Undergoing Maintenance Hemodialysis: A Cohort Study. Open Access Library Journal, 5, e3986. doi: http://dx.doi.org/10.4236/oalib.1103986.
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