title: Bilateral intertrochanteric fractures after surgical treatment of bilateral femoral neck fractures secondary to hypocalcemic convulsions with chronic renal failure: a case report and review of the literature.
abstract: There have been no reports of bilateral femoral neck fractures followed by bilateral femoral intertrochanteric fractures. A 28-year-old man presenting with bilateral femoral neck fractures due to generalized convulsions was diagnosed with chronic renal failure and treated with percutaneous screw osteosynthesis and hemodialysis. During rehabilitation, the patient again had convulsions resulting in bilateral femoral intertrochanteric fractures 2 months after the operation. He was treated with a compression hip screw on the right side and conservatively on the left side. This is the first well-documented report on bilateral femoral neck fractures followed by bilateral femoral intertrochanteric fractures.
authors.affiliation: Department of Orthopaedic Surgery, Pusan National University Hospital, Seo-Gu, Pusan, Republic of Korea. kuentak@pusan.ac.kr
authors.forename: Kuen Tak
authors.initials: KT
authors.lastname: Suh
authors.forename: Dong Joon
authors.initials: DJ
authors.lastname: Kang
authors.forename: Jung Sub
authors.initials: JS
authors.lastname: Lee
mesh_terms: D000328:Adult; D005265:Femoral Neck Fractures / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery*; D005500:Follow-Up Studies; D005593:Fracture Fixation, Internal / Q000009:adverse effects* / Q000379:methods; D006620:Hip Fractures / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*; D006801:Humans; D006996:Hypocalcemia / Q000150:complications / Q000175:diagnosis* / Q000188:drug therapy; D007676:Kidney Failure, Chronic / Q000150:complications / Q000175:diagnosis* / Q000628:therapy; D007677:Kidney Function Tests; D008297:Male; D011859:Radiography; D006435:Renal Dialysis; D012086:Reoperation; D018570:Risk Assessment; D012640:Seizures / Q000150:complications / Q000175:diagnosis* / Q000628:therapy; D012720:Severity of Illness Index; D016896:Treatment Outcome