Bone metabolism after kidney transplantation

Journal: Osteologie
ISSN: 1019-1291

Kalzium-Phosphat-Stoffwechsel und Knochen

Issue: Issues of 2017 (Vol. 26): HeIssue 3 2017 (131-191)
Pages: 139-144

Bone metabolism after kidney transplantation

R. Fiedler (1)

(1) Klinik für Innere Medizin II, Universitätsklinikum der Martin-Luther- Universität Halle-Wittenberg, Halle (Saale)


fracture, kidney transplantation, osteopathy, bone biopsy, osteodensitometry


After solid organ transplantation changes of bone metabolism are often a challenge for an osteologist especially after kidney transplantation, which is the most common form with more than 2000 transplantations per year. The importance of (post)transplant osteopathy (TO) is characterized by a multifactorial pathogenesis (e. g. drugs, praetransplant existing bone diseases, hormonal and other factors) and otherwise by limited recommendations, if there are only few evidence-based studies considering for the guidelines. This review will report about causes, guideline recommendations, diagnostics and therapeutic options. In particular, the meaning of bone biopsy and osteodensitometry as diagnostic tools and the treatment of fracture-prone patients in the first year after kidney transplantation should be underlined.

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