title: Functional Outcome of Conservatively Treated Bilateral Neck of Femur Fracture in an Elderly: A Case Report.
abstract: Bilateral Neck of Femur (NOF) fractures is relatively rare. Surgery, either osteosynthesis or hemireplacement arthroplasty, is the mainstay of treatment. Significant complications are known to occur in such cases. In this case report, we present the functional outcome of a conservatively treated bilateral NOF fracture at one year, in a 93-year-old man. Our patient, a 93-year-old gentleman, sustained right side NOF fracture in May 2014 and left side NOF fracture in May 2015, both after trivial fall. He did not give consent for surgery considering high operative risk. Now, at one year follow-up he has no true or apparent limb length discrepancy. He is ambulant with walker, self reliant for toilet care and other personal needs. Harris hip score is 75.80 and 69.65 after 1 year from right and left NOF fracture respectively. In view of high mortality after surgery for NOF fracture in high risk patients or unavailability of resources, conservative treatment for bilateral NOF fracture can achieve satisfactory functional outcome in selected patients.
authors.affiliation: Assistant Professor, Department of Orthopaedics, Pramukhswami Medical College , Karamsad, Gujarat, India .
authors.forename: Prateek Sunil
authors.initials: PS
authors.lastname: Joshi
keywords: Bilateral femoral neck fracture; Conservative treatment; Harries hip score; Hip fracture