Outcomes Following Revision Joint Arthroplasty among Hemodialysis-Dependent Patients.

Abstract Background Hemodialysis (HD) dependence is known to impact the integrity of bone and has long been associated with metabolic bone disease and other adverse events postoperatively. The aim of this study is to analyze postoperative outcomes following revision hip and knee arthroplasty in hemodialysis-dependent (HDD) patients and to characterize the common indications for revision procedures among this patient population. Methods 1779 HDD patients who underwent a revision joint arthroplasty (930 revision TKA and 849 revision THA) between 2005 and 2014 were identified from a retrospective database review. Our resulting study groups of revision TKA and THA HDD patients were compared to their respective matched control groups for hospital length of stay (LOS), 90-day mean total cost, hospital readmission, and other major medical and surgical complications. Results HD was significantly associated with increased LOS (7.7±8.3 versus 4.8±4.5, p Conclusion HD remains a significant risk factor for increased length of stay, mean total cost, hospital readmission, septicemia and mortality following revision joint arthroplasty.