Low-velocity Simultaneous Bilateral Femoral Neck Fracture Following Long-term Antiepileptic Therapy: A Case Report

Overview

Journal World J Orthop

Publisher Baishideng Publishing Group

Specialty Orthopedics

Date 2019 Nov 22

PMID 31750085

Citations 2

Authors

Mohammed Sadiq

Vikrant Kulkarni

Syed Azher Hussain

Mohammed Ismail

Mayur Nayak

Affiliations

Soon will be listed here.

Abstract

Background: Simultaneous bilateral femoral neck fractures are relatively rare injuries. They are usually associated with underlying metabolic bone disorders or systemic diseases. Long-term use of narcotics and bisphosphonates can also result in similar fracture patterns; however, association of this fracture type with long-term use of antiepileptic drugs is not very common. Only one such case has been reported in the literature. This article describes the second.

Case Report: We report a case of simultaneous displaced bilateral femoral neck fractures in a 50-year-old epileptic patient, who had taken phenytoin for the past 3 years. The fractures were a result of low-velocity injury following a fall from the bed. The fractures were managed with a bilateral hemi-replacement arthroplasty. Oral bisphosphonates were given to improve the bone quality in the post-operative period. The patient had a good post-operative outcome, that was sustained throughout the entire follow-up period of 1 year.

Conclusion: Antiepileptic drugs should be supplemented with bisphosphonates and vitamin D to improve bone quality and prevent fractures in epileptic patients.

Citing Articles

Energy, Waves, and Forces in Bilateral Fracture of the Femoral Necks: Two Case Presentations and Updated Critical Review.

Baciu C Diagnostics (Basel). 2022; 12(11).

PMID: 36359437 PMC: 9689340. DOI: 10.3390/diagnostics12112592.

Bilateral Neck of Femur Fracture in a Child With Underlying Vitamin D Deficiency: A Case Report on Management and 10-Year Follow-Up.

Gupta A, Narang A, Gupta S, Kanojia R Cureus. 2022; 14(3):e22953.

PMID: 35411281 PMC: 8988905. DOI: 10.7759/cureus.22953.

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