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Two Very Rare Case of Simultaneous Bilateral Intertrochanteric Fracture Operated in Single Stage - A Case Report
Sachin Kumar1, Rajesh Thakur2, Akash Mane1
1Department of Orthopedics, Manipal Tata Medical College, Manipal Academy of Higher Education, Manipal, Karnataka, India.
Introduction:
Unilateral intertrochanteric fractures are common injuries in elderly population. Simultaneous bilateral intertrochanteric fractures do occur but are very rare and only a few cases have been reported in the literature.
Case Report:
We report two cases with different modes of injury. Both cases were fixed in a single stage by proximal femoral nailing (PFN). The first case had multiple comorbidities and after 6 weeks of follow up, she suddenly expired at home due to medical issue. The second case is the only case reported with associated bilateral superior and inferior pubic rami fracture. PFN was done in a single stage and at 1-year follow-up, the patient was having a good functional outcome.
Conclusion:
Simultaneous bilateral intertrochanteric fractures are very rare injuries but these are potentially life-threatening with high morbidity. Quick assessment and early single-stage stabilization with proximal femoral nail give stable fixation and good functional outcome.
