Abstract
We investigated the problems encountered in 12 femoral neck fracture patients who had been on long-term hemodialysis and were treated during the 6 year period from 1989 through 1995. The average age was 61.3 years with a range of 46-76. 6 cases were intracapsular fractures and 6 were trochanteric. The mean period of hemodialysis was 11.8 years with a range of 4-23 years. Six cases had been treated by osteosynthesis, 3 of whom did not achieve bone union. 6 cases were treated with prosthetic replacement. In the 3 cases treated with cemented prosthetic replacement, 2 showed loosening rediologically and required a surgical revision. We reported problems with revision of cemented prostheses, therefore we prefer to use non-cemented to cemented for prosthetic replacement of the femoral neck fractures in hemodialysis patients.
