Conservative Treatment of Bilaterally Femur Stress Fracture After Renal Transplantation

Abstract

Renal transplantation is accepted as the gold standard treatment for end stage kidney disease. With the advancement of transplantation techniques and immunosuppressive treatments, a great increase in patient and graft survival has been achieved in recent years. But this has also lead to longer use of immunosuppressive drugs and corticosteroids which resulted in other complications. Stress fractures that are usually seen in femur and tibia, most commonly occur at the femoral neck. The aim of this article is to report the recovery of a patient with conservative and non-operative treatment who had bilateral non-displaced femoral neck fractures. Fifty nine year old male patient had a renal transplantation in May 2014 due to end-stage kidney disease and received methylprednisolone and immunosuppressive treatments. In the postoperative 4th month, the patient developed a sudden onset pain and difficulty to walk without a trauma history. In the MRI scan of the patient, non-displaced fracture lines were spotted at the femoral necks bilaterally. Patient’s biochemical parameters were nonconclusive and osteopenia was seen in his bone density measurement which was done additionally. As an early diagnosis can be achieved by this way, we think that it is possible to cure these patients conservatively with bed rest and medical treatments.