title: Management of simultaneous bilateral neck of femur fractures in an elderly patient.
abstract: Simultaneous bilateral neck of femur fracture is rare. There have been few reports of such a condition in the literature. This uncommon pattern of injury has been associated with high-energy trauma, underlying bone disease, and seizure disorders. We describe our experience of such a condition involving an elderly patient with significant cardiovascular comorbidity. The operative approach involved single-stage repair of both the involved joints. Bilateral uncemented hemi-arthroplasty was performed using a single tray of sterile surgical instruments and 2 sterile drapes. We report a satisfactory outcome. Uncemented arthroplasty should be considered in such a case so as to minimize the risk of a possible bone cement implantation syndrome.
authors: Department of Trauma and Orthopaedic Surgery, Mater Misericordiae University Hospital, Dublin, Ireland.
authors: Niall P
authors: NP
authors: McGoldrick
authors: Michael K
authors: MK
authors: Dodds
authors: Connor
authors: C
authors: Green
authors: Keith
authors: K
authors: Synnott
keywords: hemi-arthroplasty; seizure condition; simultaneous bilateral hip fracture; uncemented