The Bilateral Symmetrical Neck of Femur Fracture in a Child Following Trauma, Successfully Treated with Surgical Fixation

Neck of femur fracture in a child caused by trauma is rare and needs appropriate management to avoid complications. We present an 8-year-old child with a bilateral symmetrical delbet type III neck of femur fracture following a fall from height.
Clinical assessment revealed an isolated bilateral neck of femur injury. Radiographs reveal bilateral symmetrical intracapsular neck of femur fracture which is delbet type III. During initial medical management, adequate analgesics were given and traction was applied to the limbs. Surgical fixation of each hip was done in the next planned trauma list by the senior paediatric orthopaedic surgeon. A partially threatened cancellous cannulated screw and smooth K wires were used under the guidance of the image intensifier. The patient was followed in the clinic until the radiological evidence of healing and he regained the range of motion of the hip. He is still under follow-up for the late onset of complications.
A bilateral symmetrical intracapsular neck of femur fracture is rare. Awareness of this entity, early detection, and intervention in this condition may help preserve the native hip.