Bilateral femoral concurrent neck with shaft fractures – A case report

Abstract

Background: Bilateral femoral concurrent neck with shaft fracture is rare and requires meticulous planning to achieve successful outcome. Case: We report a rare case of bilateral femoral concurrent neck with shaft fracture. Initially, damage control procedure of external-fixator application was performed followed by conversion to bilateral reconstruction femoral nailing. Patient required additional procedure on one side for femur shaft nonunion by augmentation plating and bone grafting to achieve union. Conclusion: Use of single intramedullary implant with anatomical reduction of the neck and achieving correct length, alignment, rotation along with good compression at the diaphyseal fracture site plays a key-role in the successful outcome in these rare fractures.

Keywords

• Bilateral concurrent neck with shaft fracture
• Intramedullary nailing
• Damage control orthopaedics
• Neck with shaft of femur fracture
• Reconstruction femoral nailing