Simultaneous traumatic bilateral femur fractures in the paediatric population: Case report

Paediatric femur fractures are well described. Simultaneous bilateral femur fractures are a much more rare occurrence with limited literature on their incidence, treatment protocol and outcomes. This case report outlines the radiological and clinical outcomes of bilateral femur fractures which were managed surgically in our institution.

We report a 7 year old child that sustained bilateral femur fractures subsequent to an access gate falling on him. He was managed surgically with titanium elastic nailing on the left and a proximal femur locking plate for the right.

Bilateral femur fractures are rare and mostly due to motor vehicle accidents and falls. They can present with multiple comorbid injuries due to the high-energy accidents. The incidence and mean age of injury are unclear. The treatment of bilateral femur fractures in the paediatric population can be conservative or surgical depending on age and other factors.

Simultaneous traumatic bilateral femur fractures, although rare, have good clinical and radiological outcomes when treated conservatively or surgically, as is shown in our case.