Abstract
According to the National Hip Fracture Database, over 64,000 patients were admitted with a hip fracture across England, Wales, and Northern Ireland in 2013, but very few are bilateral, and there are no current cases in the literature of bilateral neck of femur fractures in a patient with bilateral below-knee amputations. We present a case of a 69-year-old bilateral below-knee amputee male admitted to the emergency department with bilateral hip pain and radiological evidence of bilateral displaced neck of femur fractures. The patient subsequently underwent synchronous bilateral total hip replacements under general anaesthetic and an epidural and then went on to make a full recovery. He was discharged 27 days after arrival in hospital. Outpatient follow-up at 3 months has shown that the patient has returned to a similar level of preinjury function and is still able to carry out his daily activities with walking aids and bilateral leg prostheses.
Highlights
Hip fractures are common, with 64,838 cases being admitted to hospital in 2013 [1]
We highlight an unusual case presentation of bilateral displaced femoral neck fractures in a below-knee amputee, and his successful outcome. This case report can serve as a reference to other surgeons should a similar case arise in their own practice, and we review the current literature on bilateral hip fractures and hip fractures in amputees
Low-energy neck of femur fractures are common, but no cases in the literature have been described for bilateral neck of femur fractures in a patient with bilateral below-knee amputations, and there is no set protocol for such a patient
Summary
Hip fractures are common, with 64,838 cases being admitted to hospital in 2013 [1]. The age-range with the highest incidence for neck of femur fractures is 80–89 years (47.2%), and for ages 60–69, the incidence was 8.8% in 2013 [1], yet simultaneous bilateral neck of femur fractures are rare and usually occur in high-energy trauma, underlying bone disease or seizure disorders [2]. We highlight an unusual case presentation of bilateral displaced femoral neck fractures in a below-knee amputee, and his successful outcome. This case report can serve as a reference to other surgeons should a similar case arise in their own practice, and we review the current literature on bilateral hip fractures and hip fractures in amputees
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