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  • Title: Cementless total hip arthroplasty in renal transplant patients.
    Author: Alpert B, Waddell JP, Morton J, Bear RA.
    Journal: Clin Orthop Relat Res; 1992 Nov; (284):164-9. PubMed ID: 1395288.
    Abstract:
    Twenty-seven cementless total hip arthroplasties were performed in 17 steroid-dependent renal transplant patients. The average age at operation was 39 years, and the average daily dose of prednisone was 10.9 mg. At a mean of 48 months post-surgery, all patients had good to excellent hip ratings on clinical examination and the results compared favorably with 235 non-steroid-dependent age-matched patients using the identical prosthetic hip system. The results of this study suggest that long-term immunosuppression does not prevent bone ingrowth. Noncemented total hip arthroplasty appears to be a reasonable therapeutic option for end-stage osteonecrosis in steroid-dependent renal transplant patients.
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