TOTAL HIP-ARTHROPLASTY IN PATIENTS WHO HAVE CHRONIC LYMPHOCYTIC-LEUKEMIA

Twenty patients who had chronic lymphocytic leukemia underwent 25 elec tive primary total hip arthroplasties al the Mayo Clinic. No patient h ad a postoperative prosthetic infection. No patient had an intraoperat ive or postoperative hemorrhagic complication. One patient had a revis ion for aseptic loosening. After an average follow-up period of 4.6 ye ars, there were 84% good and excellent results. It is concluded that p atients who have early-stage chronic lymphocytic leukemia may not be a t increased risk or major perioperative or postoperative complications in total hip arthroplasty. The surgeon must remain vigilant for posto perative complications, but satisfactory clinical results can be obtai ned in this patient population.