Renal osteodystrophy is reflected as soon as the kidney function starts to worsen. The plethora
of skeletal changes seen in renal osteodystrophyis classified by the status of bone turnover. It is
a key cause of fractures in patients with chronic kidney disease. Upto 10% populace is affected
by chronic kidney disease. The incidence of fracture is directly related to stage of kidney disease.
This is consequently associated with decreased quality of life, economic burden and increased
mortality. Rarely the case reports and studies have focussed on fractures associated with
renal osteodystropy. So we present a rare case of spontaneous femur shaft and bilateral ulna
pathological fractures secondary to chronic kidney disease leading to disability in a young male.
The goal of this case report is to deal with the surgical and medical management of the condition,
early ambulation and good functional outcome of the patient.