Simultaneous Bilateral Femoral Neck Fracture Treated with Single-stage Hemiarthroplasty in a Patient with Renal Osteodystrophy

Abstract

Simultaneous bilateral femoral neck fracture is a rare occurrence and provides interesting challenge in its management, especially in high-risk patients. We report a case of a 71 year-old gentleman, with multiple co-morbidities including renal osteodystrophy, who presented with bilateral hip pain and inability to bear weight after a trivial fall on his way to the haemodialysis centre. Subsequent radio-imaging revealed bilateral femoral neck fracture, with underlying severely osteopenic bone. Following multidisciplinary assessment, a single-stage cemented bipolar hip hemiarthroplasty was done for the patient with no major intra- and post-operative complication. He recovered well after the surgery with good clinical and radiographic outcome. Bilateral hip cemented bipolar hemiarthroplasty done in a single setting is a viable option for treatment of the rare bilateral femoral neck fracture in a renal osteodystrophy patient who has multiple co-morbidities. The success of the surgery is depending on careful evaluation of all aspects involving the patient and the planned surgery, in order to reduce and eliminate the chance for morbidity or mortality.