Parathyroidectomy restored bone mineral density in a neglected femoral neck fracture with renal osteodystrophy:A case report  

作　　者：Tzu-Ching Lin Shih-Wei Lin Kuang-Ting Yeh 

机构地区：[1]Department of Education,Hualien Tzu Chi Hospital,Buddhist Tzu Chi Medical Foundation,Hualien 970473,Taiwan Province,China [2]Department of Orthopedics,Ten-Chan Medical Group,Taoyuan 320003,Taiwan Province,China [3]Department of Orthopedics,Hualien Tzu Chi Hospital,Buddhist Tzu Chi Medical Foundation,Hualien 970473,Taiwan Province,China [4]Department of Graduate Institute of Clinical Pharmacy,Tzu Chi University,Hualien 970374,Taiwan Province,China

出　　处：《World Journal of Clinical Cases》2024年第25期5761-5768,共8页世界临床病例杂志

摘　　要：BACKGROUND This case report contributes to the medical literature by highlighting the successful management of a neglected femoral neck fracture in a patient with renal osteodystrophy and secondary hyperparathyroidism(SHPTH)who was on dialysis due to end-stage renal disease(ESRD).It underscores the efficacy of parathyroidectomy(PTX)in restoring bone mineral density(BMD)and promoting fracture healing,addressing a significant complication in ESRD patients.CASE SUMMARY A 36-year-old female with renal osteodystrophy and on dialysis due to ESRD presented with a history of left patellar tendon rupture and later,a right achilles tendon avulsion fracture.Persistent right hip pain led to the discovery of a neglected right femoral neck fracture,which was initially overlooked due to the patient’s complex medical history.Two months post-achilles tendon repair,the patient underwent PTX to manage the refractory SHPTH.The postoperative course included rehabilitation and weight-bearing exercises.Remarkably,2 years after osteosynthesis,radiographic assessments indicated a solid union of the periprothesis fracture and significant improvement in BMD,showcasing the efficacy of the treatment approach.CONCLUSION PTX,combined with appropriate rehabilitation,is crucial for improving BMD and fracture healing in ESRD patients with SHPTH.

关 键 词：Secondary hyperparathyroidism PARATHYROIDECTOMY FRACTURE Renal osteodystrophy Case report 

分 类 号：R687.3[医药卫生—骨科学]