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Simultaneous bilateral femoral fracture in children

1 Department of Pediatric Surgery and Hospital Center and University Charles de Gaulle, Ouagadougou, Burkina Faso
2 Department of Trauma and Orthopaedics, Hospital Center End University Souro Sanou of Bobo Dioulasso, Burkina Faso
3 Department of Pediatric Surgery and Hospital Center and University Charles de Gaulle, Ouagadougou, Burkina Faso

Correspondence Address:
Somkieta Francis Modeste Ouédraogo,
Service de Chirurgie Pédiatrique, CHUP Charles de Gaule, Ouagadougou
Burkina Faso
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/ajps.ajps_91_21

Introduction: Bilateral femoral fractures in children (BFFC) are an uncommon condition. Only a few cases were reported in the literature. The frequency and outcome in low-setting facilities are unknown. This study aims to describe our experience in managing BFFC. Patients and Methods: A 10-year ongoing study spanning from 2010 to 2020 was held in a level-1 paediatric facility. We included all cases of BFFC on a bone-free disease with at least 10 months of follow-up time. Data were collected and analysed with statistical software. Results: A total of eight patients with ten BFFC were collected. It involved mainly boys (n = 7/8) with median age of 8 years. Mechanism of injury were a road traffic accident (n = 4), a fall from height (n = 3), and been crushed by a falling wall (n = 1). Associated injuries were frequent (n = 6/8). Patients were managed nonoperatively with spica cast (n = 5) and by elastic intramedullary nails (n = 3). After 6.11 years of mean follow-up time, all fractures healed. The outcome was excellent and good in 7 cases. One patient sustained knees stiffness. Conclusion: Non-operative management of BFFC showed satisfactory outcomes. Early surgical care must be developed in our low-income settings to reduce in-hospital stay and encourage early weight-bearing.

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