Department of Pediatric Surgery and Hospital Center and University Charles de Gaulle, Ouagadougou, Burkina Faso.
Department of Trauma and Orthopaedics, Hospital Center End University Souro Sanou of Bobo Dioulasso, Burkina Faso.
Afr J Paediatr Surg. 2023 Apr-Jun;20(2):120-123. doi: 10.4103/ajps.ajps_91_21.
Bilateral femoral fractures in children (BFFC) are an uncommon condition. Only a few cases were reported in the literature. The frequency and outcome in low-setting facilities are unknown. This study aims to describe our experience in managing BFFC.
A 10-year ongoing study spanning from 2010 to 2020 was held in a level-1 paediatric facility. We included all cases of BFFC on a bone-free disease with at least 10 months of follow-up time. Data were collected and analysed with statistical software.
A total of eight patients with ten BFFC were collected. It involved mainly boys (n = 7/8) with median age of 8 years. Mechanism of injury were a road traffic accident (n = 4), a fall from height (n = 3), and been crushed by a falling wall (n = 1). Associated injuries were frequent (n = 6/8). Patients were managed nonoperatively with spica cast (n = 5) and by elastic intramedullary nails (n = 3). After 6.11 years of mean follow-up time, all fractures healed. The outcome was excellent and good in 7 cases. One patient sustained knees stiffness.
Non-operative management of BFFC showed satisfactory outcomes. Early surgical care must be developed in our low-income settings to reduce in-hospital stay and encourage early weight-bearing.
儿童双侧股骨干骨折（BFFC）是一种不常见的情况。文献中仅报道了少数病例。在低级别医疗机构中，其发病率和结果尚不清楚。本研究旨在描述我们在处理 BFFC 方面的经验。
这是一项从 2010 年至 2020 年持续进行的 10 年研究，在一家一级儿科医疗机构进行。我们纳入了所有在无骨病基础上发生的双侧股骨干骨折病例，且至少有 10 个月的随访时间。使用统计软件收集和分析数据。
共收集到 8 例 10 处 BFFC 的患者。主要为男孩（n = 7/8），中位年龄为 8 岁。损伤机制包括道路交通伤（n = 4）、高处坠落伤（n = 3）和被倒塌的墙壁压伤（n = 1）。有 6 例（n = 6/8）合并其他部位损伤。患者接受非手术治疗，包括支具固定（n = 5）和弹性髓内钉固定（n = 3）。平均随访 6.11 年后，所有骨折均愈合。7 例患者的结果为优和良，1 例患者膝关节僵硬。
BFFC 的非手术治疗结果满意。在我们的低收入环境中，必须开发早期手术治疗，以缩短住院时间并鼓励早期负重。
