Bilateral Nonunion of Femoral Neck Fractures Because of Nutritional Osteomalacia: A Report of 2 Cases. Issue 4 (11th October 2022)

• Record Type: Journal Article
• Authors: Maramreddy, Leela Venkata Sai Krishna; Mittal, Ravi; Anand, Anmol; Vatsya, Pulak
• Is Part Of: JBJS case connector. Volume 12:Issue 4(2022)
• Publication Date: 2022-10-11
• Subjects: vitamin D deficiency -- neck femur nonunion -- valgus osteotomy -- osteomalacia -- rickets in adults -- rare cases; Orthopedic surgery -- Case studies -- Periodicals; Orthopedic surgery -- Periodicals; Orthopedics; Orthopedic Procedures; Orthopedic surgery; Periodicals; Electronic journals; Case studies; Periodicals; 616.7
• DOI: 10.2106/JBJS.CC.22.00314
• Languages: English
• ISSNs: 2160-3251

Abstract

Abstract : Case: We report 2 cases of atraumatic, bilateral femoral neck fracture nonunions. Both the patients were relatively young and had underlying nutritional osteomalacia. In both cases, valgus intertrochanteric osteotomy was performed along with vitamin D and calcium supplementation. The patients were followed up for an average of 3 years and achieved bone union without any complications. Conclusion: Bilateral femoral neck fractures are rare, and bilateral nonunion of femoral neck fractures secondary to osteomalacia is even rarer. Valgus intertrochanteric osteotomy can salvage the hip. Correction of underlying osteomalacia by vitamin D and calcium supplementation preceeded surgical intervention in our cases.