Simultaneous Bilateral Fracture of the Femoral Neck in a Senile Patient: A Case Report
Background. Simultaneous bilateral femoral neck fracture is quite a rare injury. The literature describes single cases of such trauma occurrence as a result of low-energy exposure. The aim is to demonstrate the choice of treatment tactics for a senile patient with simultaneous bilateral fracture...
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| Format: | Article |
| Language: | Russian |
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Vreden Russian Research Institute of Traumatology and Orthopedics
2025-03-01
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| Series: | Travmatologiâ i Ortopediâ Rossii |
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| Online Access: | https://journal.rniito.org/jour/article/viewFile/17586/pdf |
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| author | Mikhail V. Belov Sergey V. Rassamakhin Ksenia Yu. Belova Khatia G. Gordzheladze Yuriy M. Vedeneev |
| author_facet | Mikhail V. Belov Sergey V. Rassamakhin Ksenia Yu. Belova Khatia G. Gordzheladze Yuriy M. Vedeneev |
| author_sort | Mikhail V. Belov |
| collection | DOAJ |
| description | Background. Simultaneous bilateral femoral neck fracture is quite a rare injury. The literature describes single cases of such trauma occurrence as a result of low-energy exposure.
The aim is to demonstrate the choice of treatment tactics for a senile patient with simultaneous bilateral fracture of the femoral neck.
Case description. An 84-year-old patient suffered simultaneous fractures of both femoral necks as a result of a fall from a height of her own height. She was taken to the emergency department of the hospital, where the diagnosis was made based on a clinical and X-ray examination. Within 24 hours from the patient′s admission, after further examination in the department and due to the absence of concomitant pathology decompensation, single-episode sequential bilateral hip arthroplasty was performed using modular monopolar hemiprostheses. The patient was activated on the following day. At the time of discharge, on the 5th day after surgery, the patient was able to move independently using additional support. The treatment result was assessed within 3 and 12 months of follow-up and was found satisfactory. A year after the surgery, the patient moves independently, goes outside with a cane without being accompanied.
Conclusions. The described non-standard clinical case should be paid a special attention when choosing the right treatment tactics. An interdisciplinary approach and the use of minimally traumatic surgical treatment techniques to ensure timely activation of a senile patient are the priorities. |
| format | Article |
| id | doaj-art-cc07857913d94090a00ebe4a88eb7b09 |
| institution | DOAJ |
| issn | 2311-2905 2542-0933 |
| language | Russian |
| publishDate | 2025-03-01 |
| publisher | Vreden Russian Research Institute of Traumatology and Orthopedics |
| record_format | Article |
| series | Travmatologiâ i Ortopediâ Rossii |
| spelling | doaj-art-cc07857913d94090a00ebe4a88eb7b092025-08-20T03:11:29ZrusVreden Russian Research Institute of Traumatology and OrthopedicsTravmatologiâ i Ortopediâ Rossii2311-29052542-09332025-03-0131110611510.17816/2311-2905-175861381Simultaneous Bilateral Fracture of the Femoral Neck in a Senile Patient: A Case ReportMikhail V. Belov0https://orcid.org/0000-0001-7955-3625Sergey V. Rassamakhin1https://orcid.org/0000-0003-0154-7465Ksenia Yu. Belova2https://orcid.org/0000-0002-7856-1567Khatia G. Gordzheladze3https://orcid.org/0000-0003-2392-6554Yuriy M. Vedeneev4https://orcid.org/0009-0003-6740-4675Clinical Emergency Hospital named after N.V. SolovyovClinical Emergency Hospital named after N.V. SolovyovClinical Emergency Hospital named after N.V. SolovyovClinical Emergency Hospital named after N.V. SolovyovClinical Emergency Hospital named after N.V. SolovyovBackground. Simultaneous bilateral femoral neck fracture is quite a rare injury. The literature describes single cases of such trauma occurrence as a result of low-energy exposure. The aim is to demonstrate the choice of treatment tactics for a senile patient with simultaneous bilateral fracture of the femoral neck. Case description. An 84-year-old patient suffered simultaneous fractures of both femoral necks as a result of a fall from a height of her own height. She was taken to the emergency department of the hospital, where the diagnosis was made based on a clinical and X-ray examination. Within 24 hours from the patient′s admission, after further examination in the department and due to the absence of concomitant pathology decompensation, single-episode sequential bilateral hip arthroplasty was performed using modular monopolar hemiprostheses. The patient was activated on the following day. At the time of discharge, on the 5th day after surgery, the patient was able to move independently using additional support. The treatment result was assessed within 3 and 12 months of follow-up and was found satisfactory. A year after the surgery, the patient moves independently, goes outside with a cane without being accompanied. Conclusions. The described non-standard clinical case should be paid a special attention when choosing the right treatment tactics. An interdisciplinary approach and the use of minimally traumatic surgical treatment techniques to ensure timely activation of a senile patient are the priorities.https://journal.rniito.org/jour/article/viewFile/17586/pdfproximal femoral fractureelderly patientsfemoral neck fracturehemiarthroplastybilateral fractures |
| spellingShingle | Mikhail V. Belov Sergey V. Rassamakhin Ksenia Yu. Belova Khatia G. Gordzheladze Yuriy M. Vedeneev Simultaneous Bilateral Fracture of the Femoral Neck in a Senile Patient: A Case Report Travmatologiâ i Ortopediâ Rossii proximal femoral fracture elderly patients femoral neck fracture hemiarthroplasty bilateral fractures |
| title | Simultaneous Bilateral Fracture of the Femoral Neck in a Senile Patient: A Case Report |
| title_full | Simultaneous Bilateral Fracture of the Femoral Neck in a Senile Patient: A Case Report |
| title_fullStr | Simultaneous Bilateral Fracture of the Femoral Neck in a Senile Patient: A Case Report |
| title_full_unstemmed | Simultaneous Bilateral Fracture of the Femoral Neck in a Senile Patient: A Case Report |
| title_short | Simultaneous Bilateral Fracture of the Femoral Neck in a Senile Patient: A Case Report |
| title_sort | simultaneous bilateral fracture of the femoral neck in a senile patient a case report |
| topic | proximal femoral fracture elderly patients femoral neck fracture hemiarthroplasty bilateral fractures |
| url | https://journal.rniito.org/jour/article/viewFile/17586/pdf |
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