Avascular necrosis of the femoral head in chronic hemodialysis - A case report.

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The incidence of avascular necrosis following renal transplantation in chronic renal failure is high, but avascular necrosis of the femoral head occurring in chronic hemodialysis is very rare. This paper reports one patient with avascular necrosis as a complication of chronic renal failure. The case was a 39-year-old woman who had been treated by hemodialysis for eleven years. Corticosteroids have never been administered in her history. The bone radiographs showed marked decalcification of whole body due to renal osteodystrophy, and slight collapse and deformity of the femoral head ati the time of admission in Autumn of 1985.Aluminum was demonstrated at the site of calcification front by histochernical study of iliac bone, and necrosis of the trabeculae and medullary fibrosis were seen in the biopsy specimen of the femoral head.
西日本整形・災害外科学会の論文