SIMULTANEOUS BILATERAL NECK OF FEMUR FRACTURES WITH DELAYED PRESENTATION MANAGED WITH ONE STAGE BILATERAL TOTAL HIP REPLACEMENTS: CASE REPORT AND LITERATURE REVIEW

Emmanuel Murwanashyaka, Protogene Nshimiyimana, Alex M. Buteera*, Emmanuel Bukara and Lynnette Kyokunda-Tumwine

ABSTRACT

Bilateral simultaneous fractures of the neck of femur is a rare injury. Most of them occur as a result of epileptic seizures, drug-induced, electrically induced, hypocalcaemia, radiotherapy, malnutrition such as vitamin D deficiency and nutritional osteomalacia. They have also been reported in patients with severe osteoporosis or renal failure and in patients with hyperparathyroidism in pregnancy. A traumatic bilateral simultaneous neck of femur fractures in healthy individual is very rare and usually results from high energy trauma due to falls or accidents. We report a 39 years old male who presented with delayed bilateral neck of femur fractures following a fall during police training course, who was managed with single-stage bilateral total hip replacement with good outcome. Bilateral neck of femur fractures in young patients is very rare and result from high energy trauma. This patient would have been managed with bilateral neck of femur fixation if he had been promptly brought. Due to delayed presentation, he was managed with single stage bilateral total hip replacement. It is an alternative treatment of bilateral neck of femur fractures.. To the best of our knowledge, this is the first case of bilateral neck of femur fractures seen in Rwanda and in East African region.

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