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Low-velocity simultaneous bilateral femoral neck fracture following long-term antiepileptic therapy: A case report.

Authors
  • Sadiq, Mohammed1
  • Kulkarni, Vikrant2
  • Hussain, Syed Azher2
  • Ismail, Mohammed2
  • Nayak, Mayur2
  • 1 Department of Orthopaedics, ESIC Medical College, Gulbarga, Karnataka 585106, India. [email protected] , (India)
  • 2 Department of Orthopaedics, ESIC Medical College, Gulbarga, Karnataka 585106, India. , (India)
Type
Published Article
Journal
World Journal of Orthopedics
Publisher
Baishideng Publishing Group Co (World Journal of Orthopedics)
Publication Date
Oct 18, 2019
Volume
10
Issue
10
Pages
371–377
Identifiers
DOI: 10.5312/wjo.v10.i10.371
PMID: 31750085
Source
Medline
Keywords
Language
English
License
Unknown

Abstract

Simultaneous bilateral femoral neck fractures are relatively rare injuries. They are usually associated with underlying metabolic bone disorders or systemic diseases. Long-term use of narcotics and bisphosphonates can also result in similar fracture patterns; however, association of this fracture type with long-term use of antiepileptic drugs is not very common. Only one such case has been reported in the literature. This article describes the second. We report a case of simultaneous displaced bilateral femoral neck fractures in a 50-year-old epileptic patient, who had taken phenytoin for the past 3 years. The fractures were a result of low-velocity injury following a fall from the bed. The fractures were managed with a bilateral hemi-replacement arthroplasty. Oral bisphosphonates were given to improve the bone quality in the post-operative period. The patient had a good post-operative outcome, that was sustained throughout the entire follow-up period of 1 year. Antiepileptic drugs should be supplemented with bisphosphonates and vitamin D to improve bone quality and prevent fractures in epileptic patients. ©The Author(s) 2019. Published by Baishideng Publishing Group Inc. All rights reserved.

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