Simultaneous bilateral femoral neck fracture in a patient with renal osteodystrophy

Abstract

We present a unique case of displaced simultaneous bilateral fractures, Garden 3 type, in a 49 year woman treated with non-cemented total hip arthroplasty. The patient showed a Harris hip score of 86 on the right hip and a 81 on the left side on the fourth postoperative year, besides a bilateral Trendelenburg gait, more pronounced on the right side. She needed a cane to walk, and felt pain in the left thigh. The X-ray showed a shortening of 0.9 cm and a left femoral varus. The other arthroplasty components showed good osseointegration and position.We found that the use of the uncemented total hip arthroplasty to treat a simultaneous bilateral fracture in renal osteodystrophy patients has satisfactory results at a four year follow-up.According to the OCEBM Levels of Evidence Working Group, this study is graded as a Level of Evidence IV.

Simultaneous bilateral femoral neck fractures in a dialysis-dependent patient: case report and literature review

“…SBFNFs in patients on dialysis are relatively rare. To the best of our knowledge, only 10 cases have been reported previously, making our case the 11th (Table 1) [1,[5][6][7][8][9][10][11][12][13][14]. SBFNFs are usually secondary to seizure disorders [15], trauma [16], electric shock injuries [17], hypovitaminosis D [18], osteoporosis [19], and metabolic diseases.…”

Management Strategies for Femoral Head Replacement Arthroplasty in Uremia Patients: Case Report

“…Firstly, to increase the size and length of femoral components but avoiding to use the bone cement due to the bio-mechanical property. Some authors and coworkers proved the feasibility of no-cemented hip replacement for patients with renal osteodystrophy [12]. Secondly, there is a possibility for usage of the limb distraction to decrease the risk of fracture on the perioperative duration.…”

“…Indeed, this therapeutic method has been also used for the particular patient with the sickle cell, Jehovah's witness patients [2,3]. However, there are differences of management of perioperative period for uremia compared the above diseases in femoral neck fracture patient [4]. The purpose of this study was to report on 1 uremia patient who accepted the femoral head replacement due to min-trauma causing the left femoral neck fracture.…”

"Simultaneous Bilateral Femoral Neck Fractures Due to Vitamin D Deficiency and Chronic Ankle Instability in a Young Adult -- A Case Report and Literature Review"

“…traffic accident [6][7][8], The recruit training [9,10], high or sudden fall [11,12], weight lifting [13], etc. There are also secondary to pathological condition, The etiology due to hyperparathyroidism or osteomalacia caused by vitamin D deficiency [14][15][16][17][18][19][20][21][22], epileptic seizure [16][17][18][19][20][21][22][23][24][25], chronic renal insufficiency [25,26], secondary metabolic disorder of malnutrition [26][27][28][29][30], postoperative joint replacement [31], drugs of Allen phosphonic acid or sugar cortical hormone [32], narcotic drug abuse [33], abnormal bone metabolism and bone resorption on account of metastatic tumor [34], etc. The etiology of this kind of fracture is complex and the condition of a patient is occult.…”