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终末期肾病患者自发性、双侧、非创伤性、被忽视的股骨颈骨折治疗中的手术挑战:一例报告及文献综述

Surgical Challenge in the Management of Spontaneous, Bilateral, Nontraumatic, Neglected Femoral Neck Fractures in a Patient With End-Stage Renal Disease: A Case Report and Literature Review.

作者信息

Rednah Dareen, Brinji Omer S, Aldakhil Mishary, Alshareef Elaf, Alshehri Mohammed

机构信息

Orthopaedic Surgery, My Clinic, Jeddah, SAU.

Orthopaedic Surgery, King Abdulaziz Medical City, Jeddah, SAU.

出版信息

Cureus. 2023 May 6;15(5):e38633. doi: 10.7759/cureus.38633. eCollection 2023 May.

DOI:10.7759/cureus.38633
PMID:37284392
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10241221/
Abstract

Renal osteodystrophy is a spectrum of diseases that affect several organ systems including the musculoskeletal system by decreasing bone density which increases the risk of fractures. Fractures around the femoral neck are usually traumatic and unilateral and, rarely, bilateral and atraumatic. In this report, we present the case of a 37-year-old female patient with a known history of chronic kidney disease who sustained an atraumatic bilateral neck of femur fracture with late presentation. In addition, we present a review of neglected femoral neck fracture management in a young patient with renal disease and osteoporosis.

摘要

肾性骨营养不良是一系列影响包括肌肉骨骼系统在内的多个器官系统的疾病,它通过降低骨密度增加骨折风险。股骨颈周围骨折通常是外伤性的且为单侧,很少是双侧且无外伤的。在本报告中,我们介绍了一名37岁女性患者的病例,该患者有慢性肾病病史,出现了双侧股骨颈无外伤骨折且就诊较晚。此外,我们还对一名患有肾病和骨质疏松症的年轻患者中被忽视的股骨颈骨折治疗进行了综述。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/45e9/10241221/12279ec3d64a/cureus-0015-00000038633-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/45e9/10241221/a9426181c0c6/cureus-0015-00000038633-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/45e9/10241221/5789c8d7bbbc/cureus-0015-00000038633-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/45e9/10241221/11b4746b3b9a/cureus-0015-00000038633-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/45e9/10241221/182c4bffec06/cureus-0015-00000038633-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/45e9/10241221/12279ec3d64a/cureus-0015-00000038633-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/45e9/10241221/a9426181c0c6/cureus-0015-00000038633-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/45e9/10241221/5789c8d7bbbc/cureus-0015-00000038633-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/45e9/10241221/11b4746b3b9a/cureus-0015-00000038633-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/45e9/10241221/182c4bffec06/cureus-0015-00000038633-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/45e9/10241221/12279ec3d64a/cureus-0015-00000038633-i05.jpg

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Hip Pelvis. 2019 Dec;31(4):216-223. doi: 10.5371/hp.2019.31.4.216. Epub 2019 Nov 28.
2
Outcomes of total hip arthroplasty in haemodialysis and renal transplant patients: systematic review.血液透析和肾移植患者全髋关节置换术的结果:系统评价。
Hip Int. 2021 Mar;31(2):207-214. doi: 10.1177/1120700019877835. Epub 2019 Sep 30.
3
Hip hemiarthroplasty for femoral neck fractures in end-stage renal disease patients on dialysis compared to patients with late-stage chronic kidney disease.
血液透析终末期肾病患者与晚期慢性肾脏病患者股骨颈骨折行半髋关节置换术的比较。
Singapore Med J. 2019 Aug;60(8):403-408. doi: 10.11622/smedj.2019090.
4
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