Bilateral Total Hip Arthroplasties Secondary to Renal Osteodystrophy in a Patient with a Rare Cromer Antibody: A Case Report

This case underscores the need for clinicians to consider renal osteodystrophy in patients with ESRD as a potential cause of spontaneous or low-impact fractures. In addition, it highlights the transfusion challenges posed by rare blood group antibodies like those in the Cromer system. The case demonstrates the value of early recognition, prompt surgical intervention, and interprofessional collaboration in managing complex comorbid conditions. It contributes to broader clinical understanding by linking metabolic bone disease, chronic anemia, and immunohematologic complications in fracture management. Further research into personalized treatment protocols and rare blood antigen matching could enhance outcomes for such medically complex patients.