A Comprehensive Treatment Program of Hip Arthroplasty in Patient with End-Stage Renal Disease: A Case Series

Hong-Xia Zhu BN1, Yu Xie2, Lei Fu2 and Lun-Li Xie2*

1Department of Traumatic Orthopedics, Hunan University of Medicine General Hospital, Huaihua 418000, Hunan Province, China 2Department of Joint and Hand Orthopedics, Hunan University of Medicine General Hospital, Huaihua 418000, Hunan Province, China

^*Correspondance to: Lun-Li Xie 

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Abstract:

Background: Perioperative management of femoral neck fractures in patients with end-stage renal disease associated with hemodialysis is difficult. Therefore, it is important to formulate a comprehensive treatment program that provides suitable individual protocols. Therefore, this study aimed to introduce a novel comprehensive treatment program for this population. Methods: We conducted a retrospective case series review of patients treated between January 2012 and January 2024. Data were gathered from medical records and a comprehensive treatment program was formulated based on multidisciplinary team consultations. Results: The subjects, comprising both males and a female, were of Asian ancestry and ranged in age from 66 to 90 years. All patients underwent hemiarthroplasty for proximal femoral fractures associated with comprehensive treatment. No complications were reported during hospital stay. One of the six patients in our study died in the first year after hip fracture surgery and died of a cerebrovascular accident 8 months after surgery. Conclusion: These comprehensive treatment methods included planned hemodialysis, prophylactic anticoagulation, anti-osteoporosis therapy, management of blood pressure and blood sugar levels, and treatment of hyperparathyroidism. In addition, respiratory diseases, cardiovascular or cerebrovascular diseases, and renal anemia should be considered. Despite the lack of large samples, this case series indicates a comprehensive treatment program and emphasizes accurate management based on retrospective analysis. Thus, our study has a significant research value.

Keywords:

End-stage renal disease, Hemodialysis, Hip fracture, Hemiarthroplasty

Cite the Article:

Hong-Xia Zhu BN, Yu Xie, Lei Fu, Lun- Li Xie. A Comprehensive Treatment Program of Hip Arthroplasty in Patient with End-Stage Renal Disease: A Case Series. Ann Clin Case Rep. 2025; 10: 2749..