Simultaneous bilateral fractures of the femoral neck

Freitas, Anderson; Costa, Hélio Isamel da; Azevedo, Bruna Alves Soares; Oliveira, Jonathan Sampaio de

doi:10.1097/bco.0000000000000181

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2016

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“…Cases of bilateral simultaneous fracture of the femoral neck due to electric shock or epileptic episodes have already been well described [1] , [2] , [3] . However, such condition as a consequence of renal osteodystrophy is rare and has few reports [4] , [5] , especially when treated with uncemented total arthroplasty.…”

Section: Introductionmentioning

confidence: 99%

Simultaneous bilateral femoral neck fracture in a patient with renal osteodystrophy

Freitas¹,

Neto²,

Loures³

et al. 2016

Trauma Case Reports

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We present a unique case of displaced simultaneous bilateral fractures, Garden 3 type, in a 49 year woman treated with non-cemented total hip arthroplasty. The patient showed a Harris hip score of 86 on the right hip and a 81 on the left side on the fourth postoperative year, besides a bilateral Trendelenburg gait, more pronounced on the right side. She needed a cane to walk, and felt pain in the left thigh. The X-ray showed a shortening of 0.9 cm and a left femoral varus. The other arthroplasty components showed good osseointegration and position.We found that the use of the uncemented total hip arthroplasty to treat a simultaneous bilateral fracture in renal osteodystrophy patients has satisfactory results at a four year follow-up.According to the OCEBM Levels of Evidence Working Group, this study is graded as a Level of Evidence IV.

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Section: Introductionmentioning

confidence: 99%