PMC6612968_01
Preoperative anterior-posterior radiographs of the pelvis demonstrating the displaced bilateral femoral neck fractures.
CRIOR2019-4134351.001.jpg
PMC6612968_01_CRIOR2019-4134351.001.jpg
fig1
Based on the age of the patient, the limited bone quality, the age of the fractures, and their displacement (Figures 1 and 2), it was decided to perform a bilateral hip joint replacement with the use of short-stemmed prostheses (Figure 3).
Computed tomography images (coronal and axial plane) confirmed not only the bilateral displacement of the femoral heads but also the presence of a 3-part fracture of the right side (arrows), which helped us to decide for bilateral total hip replacement than internal fixation.
CRIOR2019-4134351.002.jpg
PMC6612968_01_CRIOR2019-4134351.002.jpg
fig2
Based on the age of the patient, the limited bone quality, the age of the fractures, and their displacement (Figures 1 and 2), it was decided to perform a bilateral hip joint replacement with the use of short-stemmed prostheses (Figure 3).
The patient was treated with bilateral implantation of a short-stemmed total hip arthroplasty (Tritanium  cup, Fa. Stryker, Duisburg, Germany; Metha  stem, Fa. Aesculap, Tuttlingen, Germany).
CRIOR2019-4134351.003.jpg
PMC6612968_01_CRIOR2019-4134351.003.jpg
fig3
Based on the age of the patient, the limited bone quality, the age of the fractures, and their displacement (Figures 1 and 2), it was decided to perform a bilateral hip joint replacement with the use of short-stemmed prostheses (Figure 3).