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Higher Complication Rate Following Hip Fractures in Uremic Patients Undergoing Maintenance Hemodialysis: A Cohort Study

DOI: 10.4236/oalib.1103986, PP. 1-10

Subject Areas: Surgery & Surgical Specialties, Hematology

Keywords: End-Stage Renal Disease, Uremia, Hip Fracture, Osteosynthesis Surgery, Post-operative Complication

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Abstract

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.

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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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