Malaysian Orthopaedic Journal 2018;12(1):42-44

doi:10.5704/MOJ.1803.009

Bilateral Proximal Femur Fractures in a Patient with Renal Tubular Acidosis: A Case Report

Charl SS 1 ; Shahrul-Hisham S ; Mohamad-Sha S

Affiliations

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Keywords

pathological fractures; renal tubular acidosis (RTA); bilateral proximal femur fractures; osteomalacia

Country

Malaysia

Language

English

Abstract

The diagnosis of pathological fractures is on the rise. Themorbidity involved does not only burden the patient and theirfamilies but it has a great toll on the healthcare system aswell. Early identification of the patient at risk is aninvaluable tool to cut cost and improve the patient’s qualityof life. Multiple renal pathologies have been highlighted inrelation to the risk of pathological fractures; however,complications in renal tubular acidosis have been rarelydocumented. Nevertheless, prompt action with adequate andrelevant patient education ultimately can reduce theassociated morbidity. We present a case of poor control ofthe disease and its debilitating pathological fracturecomplications.