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. 2013 Sep;4(3):71-3.
doi: 10.1177/2151458513511626.

Management of simultaneous bilateral neck of femur fractures in an elderly patient

Niall P McGoldrick  1 , Michael K Dodds, Connor Green, Keith Synnott
Affiliations

Management of simultaneous bilateral neck of femur fractures in an elderly patient

Niall P McGoldrick et al. Geriatr Orthop Surg Rehabil. 2013 Sep.

Abstract

Simultaneous bilateral neck of femur fracture is rare. There have been few reports of such a condition in the literature. This uncommon pattern of injury has been associated with high-energy trauma, underlying bone disease, and seizure disorders. We describe our experience of such a condition involving an elderly patient with significant cardiovascular comorbidity. The operative approach involved single-stage repair of both the involved joints. Bilateral uncemented hemi-arthroplasty was performed using a single tray of sterile surgical instruments and 2 sterile drapes. We report a satisfactory outcome. Uncemented arthroplasty should be considered in such a case so as to minimize the risk of a possible bone cement implantation syndrome.

Keywords: hemi-arthroplasty; seizure condition; simultaneous bilateral hip fracture; uncemented.

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Conflict of interest statement

Declaration of Conflicting Interests: The author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.

Figures

Figure 1.
Figure 1.
Plain film radiograph anteroposterior pelvis demonstrating bilateral intracapsular femoral neck fractures.
Figure 2.
Figure 2.
Plain film radiograph anteroposterior pelvis taken postoperatively following bilateral uncemented hemiarthroplasty.
See this image and copyright information in PMC

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