A case of renal osteodystrophy with bilateral femoral neck fractures before renal replacement therapy

Eun-A Eum,; Kiryong Park,; Yeon Soon Jung,; Hark Rim,

Korean J Med > Volume 77(1); 2009 > Article

Original Article

The Korean Journal of Medicine 2009;77(1):144-147.

A case of renal osteodystrophy with bilateral femoral neck fractures before renal replacement therapy

Eun-A Eum, Kiryong Park, Yeon Soon Jung, Hark Rim

신대치요법 전에 발생한 양측 대퇴골 경부 골절을 동반한 신성골이영양증

엄은아, 박기룡, 정연순, 임 학

Abstract

Renal osteodystrophy (ROD) is an early complication in chronic kidney disease (CKD). Irreversible skeletal complications and deformities in children are already present before CKD progresses to end stage renal disease; therefore, the early detection of coexisting ROD is important in children with CKD. In the present work, we present a case of ROD in a 14-year-old female patient with chronic renal failure. The patient had already suffered bilateral femoral neck fractures before starting extracorporeal dialysis. On the 21st day after dialysis, external fixations of the femoral neck were performed.

Key Words: Renal osteodystrophy; Femur neck fracture; Dialysis