Rodríguez-Zamorano Patricia, Galán-Olleros María, Garcia-Coiradas Javier, Llanos Sergio, Valle-Cruz José Antonio, Marco Fernando
Department of Traumatology and Orthopaedic Surgery, Hospital Clínico San Carlos, Madrid, Spain.
J Surg Case Rep. 2022 Jul 5;2022(7):rjac313. doi: 10.1093/jscr/rjac313. eCollection 2022 Jul.
Simultaneous and bilateral proximal femoral fractures (PFF) are rare and have scarcely been reported in the literature. A case of a bilateral extracapsular PFF is herein presented. Besides, an exhaustive review of the literature was performed, analyzing the information of all previously reported cases. An 81-year-old woman, who suffered a casual fall, was diagnosed with bilateral PFF consisting of both a subtrochanteric and an intertrochanteric fracture. She underwent concurrent intramedullary fixation for both fractures without any relevant complication and started early ambulation. Simultaneous bilateral extracapsular PFF are exceptional, with only 23 cases described in the current literature. In the elderly, they deserve special attention with treatment strategies in between the ones for unilateral hip fractures and those provided to old multiply injured patients. PFF management is not well established. Minimal reaming and careful nailing can be safely performed bilaterally under close monitoring, in order to start an early functional recovery.
同时性双侧股骨近端骨折（PFF）较为罕见，文献中鲜有报道。本文报告了1例双侧囊外PFF病例。此外，还对文献进行了详尽回顾，分析了所有既往报道病例的信息。一名81岁女性因意外跌倒，被诊断为双侧PFF，包括转子下骨折和转子间骨折。她接受了双侧骨折的同期髓内固定，未出现任何相关并发症，并开始早期活动。同时性双侧囊外PFF极为罕见，目前文献中仅描述了23例。对于老年人，此类骨折值得特别关注，其治疗策略介于单侧髋部骨折和老年多发伤患者的治疗策略之间。PFF的治疗方法尚未完全确立。在密切监测下，双侧均可安全地进行最小限度扩髓和仔细的髓内钉固定，以便开始早期功能恢复。
