Is there a risk of permanent renal dysfunction after primary total hip and knee joint replacementsReport as inadecuate




Is there a risk of permanent renal dysfunction after primary total hip and knee joint replacements - Download this document for free, or read online. Document in PDF available to download.

Journal of Orthopaedic Surgery and Research

, 11:122

First Online: 19 October 2016Received: 28 August 2016Accepted: 06 October 2016

Abstract

BackgroundPermanent renal dysfunction is considered as being a serious complication which may occur after major surgery and which furthermore may lead to increased morbidity and mortality. The objective of this study was to analyze the incidence of long-term postoperative renal dysfunction after primary total hip and knee joint replacements.

MethodsLong-term postoperative renal dysfunction was analyzed in a retrospective study of 1301 consecutive primary total hip and knee joint replacements performed between January 2009 and December 2013. According to the RIFLE criteria, increased serum creatinine was an indicative of postoperative renal injury. The highest serum creatinine during the first postoperative week was chosen as a sign for maximum acute renal injury and was compared to the highest serum creatinine during the following 4–12 months.

ResultsOne hundred and forty two patients with an increase in postoperative serum creatinine were included in the follow-up study. Six patients 4.2 % died due to non-renal causes during the follow-up period. One patient died of severe renal injury, which was relatively very early postoperatively, and another patient had a rise in serum creatinine to 316 μmol-l during the follow-up period. All the remaining 132 patients 94 % had full recovery with serum creatinine which returned to preoperative levels.

ConclusionsThis study did not confirm that patients who underwent primary total hip and knee joint replacement surgery were at risk of developing permanent renal dysfunction up to 1 year after the index surgery.

KeywordsKnee Hip Permanent renal dysfunction Joint arthroplasty AbbreviationsASAAmerican Society of Anesthesiologists

BMIBody mass index

BPBlood pressure

NSAIDNon-steroidal anti-inflammatory drugs

RIFLERisk, injury, failure, loss of function, end-stage renal disease

Download fulltext PDF



Author: Basim Kamil Hassan - Ram Benny Christian Dessau - Arne Sahlström

Source: https://link.springer.com/



DOWNLOAD PDF




Related documents