Simultaneous bilateral fractures of the femoral neck caused by high energy: A case report and literature review.
- Author:
You-Shui GAO
1
;
Zhen-Hong ZHU
;
Chang-Qing ZHANG
Author Information
1. Department of Orthopedic Surgery, Shanghai Jiao Tong University Affiliated Sixth People's Hospital, 600 Yishan Road, Shanghai 200233, China.
- Publication Type:Case Reports
- MeSH:
Femoral Neck Fractures;
diagnostic imaging;
etiology;
surgery;
Fracture Fixation, Internal;
adverse effects;
Humans;
Male;
Middle Aged;
Postoperative Complications;
etiology;
Tomography, X-Ray Computed
- From:
Chinese Journal of Traumatology
2015;18(5):304-306
- CountryChina
- Language:English
-
Abstract:
Simultaneous bilateral fractures of the femoral neck are rare injuries, which are reportedly induced by low-speed energy with predisposing factors including systemic diseases, medications and eclamptic seizures. Those caused by high energy are even rarer. High energy-induced bilateral fractures of the femoral neck conceive of high incidence of mortality and present great challenges in the early management. We report one case of a 52-year-old man with simultaneous bilateral fractures of the femoral neck which resulted from a motor pedestrian accident. One-stage closed reduction and internal fixation was done following the emergent resuscitation and neurosurgical management for concomitant brain injuries. The fractures united. There was no pain in the hips, and they had a normal range of motion. The treatment protocol, mechanism of the injury and possible postoperative complications were discussed to expand a comprehensive understanding about these infrequent types of fractures.