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BMC Musculoskeletal Disorders
Published in: BMC Musculoskeletal Disorders 1/2020

Open Access 01-12-2020 | Kidney Transplantation | Case report

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

Authors: Yunyun Zhu, Jingtao Hu, Wenlun Han, Jianwei Lu, Yuqing Zeng

Published in: BMC Musculoskeletal Disorders | Issue 1/2020

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Abstract

Background

Simultaneous bilateral femoral neck fractures are extremely rare without obvious injury. Herein, we report the case of a patient on dialysis presenting with bilateral femoral neck fractures, which is a condition with high complication and mortality rates according to a review of the pertinent literature.

Case presentation

We report the case a 47-year-old female with a history of 8 years of haemodialysis due to polycystic kidney disease who presented with bilateral hip pain during walking. The clinical history and results of physical and radiographic examinations of this patient are shown. Single-stage bilateral hemiarthroplasty was performed after a multidisciplinary team consultation. Three days after the operation, she could ambulate with a walker. The woman gradually regained her previous ability to walk over 6 months after surgery.

Conclusions

A multidisciplinary team consultation for perioperative management is necessary and effective in patients on dialysis. Early diagnosis with prompt surgical treatment could lead to favourable recovery.
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Metadata
Title
Simultaneous bilateral femoral neck fractures in a dialysis-dependent patient: case report and literature review
Authors
Yunyun Zhu
Jingtao Hu
Wenlun Han
Jianwei Lu
Yuqing Zeng
Publication date
01-12-2020

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