Bone and joint diseases associated with homdialysis patients.

概要

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In this paper we described the patients who had not only chronic renal failure but also bone and joint diseases developed during the maintenance hemodialysis. We performed surgical treatment in more than 200 cases undergoing hemodialysis. So we reported our cases concerning the complications after surgery and compared those with nondialysis patients. All of the patients who had had osteosynthesis, osteotomy or arthrodesis healed without problems, and no difference was found between the dialysis and nondialysis patients. The complications after surgery in the prosthetic implantation group were infection and loosening. They occurred higher in incidence in the dialysis group than in the nondialysis group. Roentgenogtams revealed the bone cysts in various joints. The deposition of beta-2-microglobulin amyloid was detected in the substance of the bone cysts by histological study. It has been suggested that these bone cysts may cause pathological fracture or osteoarthritis.
西日本整形・災害外科学会の論文