Aggarwal Sameer, Arora Chirag, Kumar Vishal, Kumar Prasoon
Department of Orthopaedics, Postgraduate Institute of Medical Education and Research, Chandigarh, India.
J Orthop Case Rep. 2020 Aug-Sep;10(5):31-33. doi: 10.13107/jocr.2020.v10.i05.1826.
Simultaneous bilateral neck femur fracture is a rare entity that has been associated with metabolic disorders, osteoporosis, drugs, trauma, and seizure disorders. Its occurrence following a physical assault is very rare. We present a case report of a prisoner presenting with bilateral neck femur fracture following a physical assault during prison confinement.
This article presents the case of a 64-year-old male prisoner who sustained bilateral intracapsular fracture neck femur following the physical assault. Bilateral uncemented total hip replacement was done using a posterior approach at separate sittings. The patient made an uneventful recovery with return of pain-free normal range of motion at the time of discharge. The weight-bearing mobilization was allowed immediately following bilateral hip arthroplasty. Harris hip score at the time of discharge and the last follow-up of 12 months was 83.4 and 90.3, respectively. No wound-related or other systemic complications were noted.
bilateral fracture neck femur is commonly associated with metabolic conditions, rarely associated blunt trauma. This article highlights the need to suspect these fracture in all elderly cases presenting with hip pain.
双侧股骨颈同时骨折是一种罕见的情况，与代谢紊乱、骨质疏松、药物、创伤和癫痫疾病有关。在身体攻击后发生这种情况非常罕见。我们报告一例在监狱监禁期间遭受身体攻击后出现双侧股骨颈骨折的囚犯病例。
本文介绍了一名64岁男性囚犯的病例，他在遭受身体攻击后发生了双侧股骨颈囊内骨折。在不同的手术中采用后入路进行了双侧非骨水泥型全髋关节置换术。患者恢复顺利，出院时恢复了无痛的正常活动范围。双侧髋关节置换术后立即允许负重活动。出院时和最后12个月随访时的Harris髋关节评分分别为83.4和90.3。未发现与伤口相关或其他全身并发症。
双侧股骨颈骨折通常与代谢状况有关，很少与钝性创伤有关。本文强调在所有出现髋部疼痛的老年病例中都需要怀疑这些骨折。
