Review Article

Total Hip Arthroplasty for Bilateral Femoral Neck Stress Fracture: A Case Report and Review of the Literature

Table 1

Case series of bilateral femoral neck fractures with their treatment, failure rates, and follow-up duration.

AuthorTensile/compressiveTreatmentFailure/treatmentFollow-upPatient age/sex

Naik et al.
Case 1
Case 2
Case 3
Case 4
L: n.a.; R: 1
L: 1; R: 3
L: 3; R: 1
L: 2; R: 3
L: OS screw; R: OT
L: OS screw; R: OT
L: OT; R: OT
L: OT; R: OT
L: HA
No
No
No
28 m
12 m
6 m
7 y
38 M
38 F
48 F
40 F
Selek et al.
Case 1
Case 2
Case 3
L: n.a.; R: n.a.
L: n.a.; R: n.a.
L: n.a.; R: n.a.
L: OS screws; R: OS screws
L: OS screws; R: OS screws
L: OS screws; R: OS screws
No
No
No
4 y
28 m
2 y
30 F
35 F
30 F
Moo et al.
Case 1
Case 2
Case 3
L: 2; R: 1
L: 1; R: 3
L: n.a.; R: 2
L: OS screws; R: cons
L: cons; R: OS screws
L: OS screws; R: OS screws
No
No
No
28 m
4 m
24 m
19 M
18 M
20 M
Cakmak et al.L: 2; R: 3L: OS screws; R: HANo18 m82 F
Nagao et al.L: 2; R: 3L: OS screws; R: consL: HA; R: HA24 m36 M
Hernigou et al.L: 1; R: 1L: OS DHS; R: OS DHSNo2 w38 F
Vaishya et al.L: 1; R: 1L: OS screws; R: OS screwsNo dataNo data50 M
Santoso et al.L: 1; R: 1L: cons; R: consNo5 m37 M
Oliveira et al.L: 1; R: 1L: OS; R: OSNo dataNo data43 M
Sariyilmaz et al.L: 1; R: 1L: VOT (blpl); R: VOT (blpl)No2 y26 F
Baki et al.L: 1; R: 1L: OS screws; R: OS screwsNo6 m22 F
Nemoto et al.L: 1; R: 1L: OS screws; R: OS screwsNo2 y24 M
Webber et al.L: 1; R: 1L: OS screws; R: OS screwsNoNo data23 M
Wright et al.L: 3; R: 3L: OS screws; R: OS screwsNo access to full articleNo access24 M
Bouchoucha et al.L: 3; R: 2L: VOT (blpl)
R: OS (DHS)
No dataNo data15 F
Naranje et al.L: 3; R: 2L: OS screws; R: OS screwsNo12 m34 M
Carpintero et al.L: 2 ; R: 3L: OS gamma; R: OS gammaR: AVN
L: AVN/THA
No data32 M
Khadabadi et al.L: n.a.; R: n.a.L: OS DHS; R: OS DHSNo12 m25 M
Romero et al.L: 2; R: 1L: OS screws; R: OS screwsNo6 m19 M
Chameseddine et al.L: 3; R: 3L: HA; R: HANo6 m71 F
Pankaj et al.L: 2; R: 3R: HA; R: OS screwsNo±5 y58 M
Haddad et al.L: 3; R: n.a.L: OS screws; R: OS screwsL: delayed union/conservative4 m56 F
Mariani et al.L: 3; R: 3L: THA; R: THANo24 m24 M
Eberle et al.L: 2; R: 1L: cervical nail (“three-flanged nail”); R: consNo40 m54 F
Zuckerman et al.L: 1; R: 1L: OS DHS; R: OS DHSNo24 m46 F
Voss et al.L: 1; R: 1L: cons; R: OS screwsR/L: nonunion24 m30 F
Bailie et al.L: 1; R: 1L: cons; R: consNo2m15 M
Annan et al.L: n.a.; R: n.a.L: DHS + VOTR: DHS + VOTNo6 m29 F
Ichikawa et al.L: 2; R: 2L: OS screws; R: OS screws61 F
Chouhan et al.L: 1; R: 1L: cons; R: consNo6 m32 M
Hootkani et al.L: 3; R: 3L: HA; R: HANo24 m28 M
Scheerlinck et al.L: 1; R: 1L: cons; R: consL: displaced fracture after accidental fall/OS by 2 screws14 w8 F
Kharazzi et al.n.a.L: OS pins; R: OS pinsNo15 y22 M
Rengmann.a.L: cons; R: consNoNo data21 M
Vento et al.n.a.L: OS pins; R: OS pins & DHSNo dataNo data53 M
MillerL: 1; R: 1L: cons; R: consNo8 m36 F
Slipman et al.L: 1; R: 1L: cons; R: consNo dataNo data36 F
Kalaci et al.L: 1; R: 1L: OS screws; R: OS screwsNo6 w18 F
Gurdezi et al.L: 1; R: 1L: cons; R: consNo12 m61 F
N totalType 1: 41 (56%)
Type 2: 13 (18%)
Type 3: 19 (26%)
Total known: 73
Total unknown: 21
% of prosthesis
Cons: 21 (23%)
OS: 52 (56%)
OT: 11 (12%)
Arthroplasty (6HA, 2THA): 8 (9%)
Total known: 92
Total unknown: 2
% of failure
2 screws: HA
1 screw: delayed union
1 screw: nonunion
1 cons: nonunion
1 cons: HA
1 cons: OS
1 nail: AVN
1 nail: THA
Mean: 23, 4 mMean: 35 y
Mean M: 30 y
Mean F: 40 y

L: left hip; R: right hip; OS: osteosynthesis; HA: hemiarthroplasty; OT: osteotomy; cons: conservative treatment; DHS: dynamic hip screw; VOT: valgus osteotomy; blpl: blade plate; THA: total hip arthroplasty; NS: no score; AVN: avascular necrosis; Type 1: compression fracture; type 2: tension fracture; type 3: displaced fracture; n.a.: not available.