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 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 5^th 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.