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

Year: 2025

Type: article

Abstract: INTRODUCTION: 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. CASE REPORT: 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. DISCUSSION: 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. CONCLUSION: Simultaneous traumatic bilateral femur fractures, although rare, have good clinical and radiological outcomes when treated conservatively or surgically, as is shown in our case.

Source: International Journal of Surgery Case Reports

DOI: 10.1016/j.ijscr.2025.111276

Authors: Lubabalo Guzana, Collen Sandile Nkosi

Institutions: University of the Witwatersrand, Chris Hani Baragwanath Hospital

Language: English

Topic: Bone fractures and treatments

Subfield: Epidemiology

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $2,090