Bilateral femoral neck fracture in a young patient receiving long-term hemodialysis: a case report with a 4-year follow-up
Levent Altınel1, Kamil Çağrı Köse1, Hayati Durmaz2
1Department of Orthopedics and Trauma Surgery, Medicine Faculty of Afyon Kocatepe University
2Department of Orthopedics and Trauma Surgery, Medicine Faculty of İstanbul University
Keywords: Arthroplasty, replacement, hip/methods; femoral neck fractures; hip prosthesis; renal dialysis/adverse effects.
Abstract
A 34-year-old male patient who was on hemodialysis developed a bilateral femoral neck fracture (Garden type III) after a minimal trauma. Bipolar cemented arthroplasty was performed in separate sessions. Pathological examination of biopsies obtained from the fracture site revealed osteodystrophy without any amyloid accumulation. Although the patient could walk without support, signs of bilateral prosthetic loosening were noted on X-rays after four years.