McGoldrick Niall P, Dodds Michael K, Green Connor, Synnott Keith
Department of Trauma and Orthopaedic Surgery, Mater Misericordiae University Hospital, Dublin, Ireland.
Geriatr Orthop Surg Rehabil. 2013 Sep;4(3):71-3. doi: 10.1177/2151458513511626.
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.
双侧股骨颈同时骨折较为罕见。文献中关于这种情况的报道很少。这种不常见的损伤模式与高能创伤、潜在的骨病和癫痫发作障碍有关。我们描述了我们对一名患有严重心血管合并症的老年患者的这种情况的经验。手术方法包括对两个受累关节进行一期修复。使用一套无菌手术器械和两块无菌手术巾进行双侧非骨水泥半关节置换术。我们报告了满意的结果。在这种情况下应考虑非骨水泥关节置换术，以尽量降低可能发生的骨水泥植入综合征的风险。
