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Failed Internal Fixation in Bilateral Femoral Neck Stress Fracture Salvaged with Total Hip Arthroplasty: A Report of Two Cases with Literature Review

Abstract

Bilateral Femoral neck stress fractures (FNSFs) are rare without any underlying metabolic disease or repeated strenuous activities like athletes or military recruits. It constitutes about 5–8% of all stress fractures. Treatment options are still controversial. We report two young women with bilateral simultaneous FNSFs without any metabolic cause, presented to us following failed internal fixation with cancellous screws and neck resorption salvaged with total hip arthroplasty. Compression type stress fracture healed in the final follow-up on the other side.

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Author information

NR: contributor 1: concepts, design, definition of intellectual content, literature search, clinical studies, data analysis, manuscript editing, guarantor. DS: contributor 2: concepts, literature search, data acquisition, data analysis, manuscript preparation, manuscript editing, guarantor. PD: contributor 3: concepts, literature search, data analysis, manuscript editing, manuscript review guarantor. SR: contributor 4: literature search, data analysis, manuscript editing, manuscript review, guarantor.

Correspondence to Natesan Rajkumar.

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All procedures performed in studies involving human participant were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

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Rajkumar, N., Soundarrajan, D., Dhanasekararaja, P. et al. Failed Internal Fixation in Bilateral Femoral Neck Stress Fracture Salvaged with Total Hip Arthroplasty: A Report of Two Cases with Literature Review. JOIO 54, 83–86 (2020). https://doi.org/10.1007/s43465-019-00030-4

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Keywords

  • Stress fracture
  • Femoral neck fractures
  • Coxa vara
  • Total hip replacement in the young
  • Hip arthroplasty