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The effect of chronic kidney disease on total hip arthroplasty

Alexander Miric1, Maria C S Inacio2, Robert S Namba3

  • 1Southern California Permanente Medical Group, Department of Orthopaedic Surgery, Los Angeles, California.

The Journal of Arthroplasty
|February 22, 2014
PubMed

Insights

Patients with chronic kidney disease (CKD) undergoing total hip arthroplasty (THA) face a higher risk of 90-day readmission. However, CKD did not significantly increase risks for revision surgery, infection, or mortality after THA.

Area of Science:

  • Orthopedic Surgery
  • Nephrology
  • Public Health

Background:

  • Chronic kidney disease (CKD) affects surgical outcomes.
  • Total hip arthroplasty (THA) is a common procedure.
  • Understanding risks for CKD patients undergoing THA is crucial.

Purpose of the Study:

  • To evaluate the risks of revision, surgical site infection (SSI), thromboembolic events, mortality, and readmission in patients with CKD undergoing THA.
  • To compare outcomes between CKD patients and those without CKD after THA.

Main Methods:

  • Retrospective analysis of 20,720 primary THA cases.
  • Identified 1269 patients (6.1%) with CKD.
  • Adjusted for demographic and comorbidity factors.

Main Results:

  • CKD patients had a 1.4-fold increased risk of 90-day readmission (95% CI 1.1-1.8).
  • No significant differences in risks for revision (aseptic, septic), SSI (deep, superficial), deep vein thrombosis, pulmonary embolism, or mortality (30-day, 90-day, ever) were observed.
  • CKD patients represent a distinct population requiring specific attention.

Conclusions:

  • CKD is associated with an elevated risk of 90-day readmission following THA.
  • CKD does not appear to significantly increase the risk of major complications like revision, infection, or mortality after THA.
  • These findings highlight the need for targeted post-discharge care for CKD patients after THA.

Keywords:
hip arthroplastyimplant longevitykidney diseasemortalityperioperative morbiditytotal joint registry

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