Bilateral Neglected Neck of Femur Fracture in a Cerebral Palsy Child: Case Report.

CASE PRESENTATION: A 15-year-old spastic quadriplegic cerebral palsy girl, with a Gross Motor Function Classification scale III, presented with bilateral neglected femoral neck fractures, 2 months after a seizure episode, due to inability to walk. Bilateral subtrochanteric valgus osteotomies and fixation using dynamic hip screws were done. Functional lengthening of soft tissue was achieved by femoral shortening. Postoperatively, partial weight bearing was allowed after 3 weeks and progressed gradually to full weight-bearing. The prefracture activity level was achieved, with satisfactory radiographic results at 1 year.

CONCLUSION

Simultaneous bilateral valgus osteotomy with dynamic hip screw fixation was an effective treatment option for this patient.