J Korean Fract Soc.  2020 Jul;33(3):154-158. 10.12671/jkfs.2020.33.3.154.

Rare Experience of Bilateral Femoral Neck and Shaft Fractures - A Case Report -

• Choe D
• Lee JH
• Park KC

• KMID: 2504549
• DOI: http://doi.org/10.12671/jkfs.2020.33.3.154

Abstract

Ipsilateral fractures of the femoral neck and shaft are relatively common injuries and accompany 2% to 9% of all femoral shaft fractures. On the other hand, it is extremely rare for these injuries to occur bilaterally. This paper reports the authors’ experience of a case with bilateral femoral neck and shaft fractures. The patient sustained multiple injuries, including liver laceration with hemoperitoneum, bilateral open fractures of the tibia, and bilateral femoral neck, and shaft fractures caused by a high-speed motor vehicle accident. Under the circumstances, damage-control orthopedic principles were applied, and external fixators were initially placed. After the patient’s general condition showed improvement, both femurs were fixed with a reconstruction nail. Fracture healing was achieved without complications, such as avascular necrosis of the femoral head. Despite the rare occurrence, this paper describes this case because these injuries must be managed with meticulous attention.

Keyword

Femur; Femoral neck fracture; Femoral shaft fracture; Intramedullary nailing; Damage control surgery