Bilateral atraumatic femoral fracture treated with humeral nail in a patient with prolonged hemodialysis

Morales R.E.V.; Alfaro R.L.Z.; Peralta K.Y.L. · Revista Cubana de Ortopedia y Traumatologia (2024)

Resumen

Introduction: Renal osteodystrophy, one of the complications of hemodialysis, causes pathological fractures, since, by affecting calcium metabolism, it stimulates bone resorption and leads to osteoporosis. However, bilateral atraumatic diaphyseal femoral fractures, equivalent to atypical femoral fractures, have not been reported in patients treated with prolonged hemodialysis. Objective: To demonstrate the efficacy of the locked humeral intramedullary nail as a therapeutic alternative, when a pediatric femoral intramedullary nail is not available, in patients treated with prolonged hemodialysis. Case report: The case of a 23-year-old woman with end-stage renal failure and prolonged hemodialysis treatment is reported. She presented renal osteodystrophy and was underweight. She suffered bilateral atraumatic atypical diaphyseal femoral fractures. A satisfactory result was obtained with the use of a locked humeral nail. Conclusions: The locked humeral intramedullary nail is considered an effective alternative for atypical femoral fractures in underweight patients.

Instituciones: Universidad Privada Antenor Orrego