Abstract
Nine hemodialysis patiens (3 men and 6 women) with femoral neck fractures (10 hips) were evaluated clinically and radiologically. The average period of hemodialysis treatment was 11.5 years. The average age at injury was 64 years old. The average follow-up time was 2 years and 8 months. Three hips (Garden stage I or II) were treated conservatively, and prosthetic replacements were performed in 7 cases (Garden stage III or IV).
We studied the relationships between the cause of injury and types of prosthesis, and presence or absence of bone cyst in the femoral neck. All of the cases with bone cyst in the femoral neck or head suffered spontaneous fracture and the other patients without cysts were injured by falling down. In the 3 cases treated with non-cemented prosthetic replacement, 2 showed loosening radiologically. Clinical results were good in 9 hips and poor in 1 of the non-cemented replacements. It is advisable to use bone cement for prosthetic replacement of the unstable femoral neck fractures in hemodialysis patients if the patient's general condition does not contraindicate surgery.
