Simultaneous bilateral femoral neck fracture in a patient with renal osteodystrophy Anderson Freitas, Silvio Leite de Macedo Neto, Fabiano Bolpato Loures,

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Presentation transcript:

Simultaneous bilateral femoral neck fracture in a patient with renal osteodystrophy Anderson Freitas, Silvio Leite de Macedo Neto, Fabiano Bolpato Loures, Eugênio dos Santos Neto, Leonardo Coelho de Alencar Barreto, Maurício Siqueira Camilo Trauma Case Reports Volume 3, Pages 26-31 (April 2016) DOI: 10.1016/j.tcr.2016.05.005 Copyright © 2016 The Authors Terms and Conditions

Fig. 1 (A) X-ray images showing poor bone quality and deformity on both hips; (B) computed tomography image of the pelvis clearly demonstrating displaced fractures of both femoral necks. Trauma Case Reports 2016 3, 26-31DOI: (10.1016/j.tcr.2016.05.005) Copyright © 2016 The Authors Terms and Conditions

Fig. 2 Magnetic resonance image showing necrotic area in both femoral heads. Trauma Case Reports 2016 3, 26-31DOI: (10.1016/j.tcr.2016.05.005) Copyright © 2016 The Authors Terms and Conditions

Fig. 3 (A) Picture of the femoral heads in position, according to each side. (B) (Upper) Slices of the femoral head to the left; (lower) slices of the femoral head to the right, both featuring extensive areas of necrosis. Trauma Case Reports 2016 3, 26-31DOI: (10.1016/j.tcr.2016.05.005) Copyright © 2016 The Authors Terms and Conditions

Fig. 4 Histological blade showing a bone trabeculae devoid of periosteum and osteocytes with loss of nuclear basophilia and empty lacuna featuring coagulative necrosis (400× HE). Trauma Case Reports 2016 3, 26-31DOI: (10.1016/j.tcr.2016.05.005) Copyright © 2016 The Authors Terms and Conditions

Fig. 5 X-ray image showing the absence of osteolysis, good osseointegration of prosthetic components to the right and acetabular components to the left, with migration of the femoral component and increased left femoral varus. Trauma Case Reports 2016 3, 26-31DOI: (10.1016/j.tcr.2016.05.005) Copyright © 2016 The Authors Terms and Conditions