Bilateral Simultaneous Neck of Femur Fractures Arising from a Simple Mechanical Fall—A Case Report for Guidance on Safe Surgical Management: 簡單跌倒後發生的兩側同時急性股骨頸骨折：病例報告和安全手術處理指引

Simultaneous acute femoral neck fractures are rare and infrequently reported in the literature. Of the few published cases, most result from underlying pathological bone processes or violent muscle contractions including epileptic seizures and electrocution. We present the case of a 73-year-old lady with metastatic colon cancer who presented with acute bilateral neck of femur fractures following a simple fall. Following a comprehensive discussion with anaesthetic and surgical staff, and in conjunction with the patient, a decision was made to perform simultaneous bilateral cemented stem hip hemiarthroplasties. There were no perioperative complications, and the patient made a positive recovery, being transferred to a rehabilitation institute 3 days after the surgery. Two weeks later, she was discharged home to her family. We have demonstrated that this rare injury can be safely managed during a single operative session in the presence of an experienced multidisciplinary team, despite serious patient comorbidity.

中 文 摘 要同時發生兩側急性股骨頸骨折是罕見的，在文獻中很少報導。在少數已發表的報告中，大部份是由於病理性骨折或由於猛烈的肌肉收縮如癲癇發作和觸電。我們報告了一個73歲患有轉移性結腸癌的老太太，在簡單跌倒後出現兩側同時急性股骨頸骨折。經外科醫生，麻醉醫生和病人全面討論之後，病人接受了兩側同時進行人工水泥半髖關節置換術。手術前後並沒有出現併發症，病人在術後3天便轉到療養院，並在術後14天出院回家。我們證明了只要有一隊有經驗的多學科團隊，儘管病人患有多種疾病，這種罕見的病症也可以用一節手術的時間安全地處理。