Tuyển tập các báo cáo nghiên cứu về hóa học được đăng trên tạp chí sinh học quốc tế đề tài : Neglected simultaneous bilateral femoral neck fractures secondary to narcotic drug abuse treated by bilateral one-staged hemiarthroplasty: a case report | Hootkani et al. Journal of Orthopaedic Surgery and Research 2010 5 41 http content 5 1 41 éHMÌ JOURNAL OF ORTHOPAEDIC MBs SURGERY AND RESEARCH CASE REPORT Open Access Neglected simultaneous bilateral femoral neck fractures secondary to narcotic drug abuse treated by bilateral one-staged hemiarthroplasty a case report Alireza Hootkani Ali Moradi and Ehsan Vahedi Abstract Simultaneous bilateral femoral neck fractures are extremely rare and associated with various conditions. Up to now Most cases had correlations with major trauma repetitive minor trauma seizure parathyroid or renal dysfunction antiepileptic medications seizure etc. A 28-year-old addict man referred to us with a 10-year history of narcotic drug abuse and history of 8 months bilateral groin pain. He admitted with displaced bilateral femoral neck fracture. Because of long duration of this condition and osteonecrosis revealed on bone scan one-staged bilateral hip hemiarthroplasty was done. A good function was noted after surgery to 4-month follow up. Up to now have not be founded in the literature that a case of bilateral femoral neck fracture associated with narcotic drug abuse. Because of negative effects of opium or smoking on bone tissues a simple bone pain should aware us about the risk of stress or fatigue fracture. Background Simultaneous bilateral femoral neck fractures are extremely rare and have been associated with high-energy trauma 1 repetitive minor trauma abnormal anatomy 2 seizure 3-9 electrical injury electroconvulsive therapy primary or secondary bone diseases such as osteomalacia 10 hyperparathyroidism 11 chronic renal failure 12 or severe osteoporosis especially after corticosteroid or other corticosteroid-like drug therapy. Different procedures have reported in the literature for treatment of bilateral femoral neck fracture include in situ fixation open reduction and internal fixation open fixation with valgus intertrochanteric osteotomy 13 and hemi or total hip .
