Case ReportsBilateral Nonunion of Femoral Neck Fractures Because of Nutritional Osteomalacia A Report of 2 CasesMaramreddy, Leela Venkata Sai Krishna MBBS, MS, DNB Orthopaedics1; Mittal, Ravi MBBS, MS Orthopaedics1; Anand, Anmol MBBS, MS Orthopaedics1; Vatsya, Pulak MBBS, MS, DNB Orthopaedics1,* Author Information 1Department of Orthopaedics, All India Institute of Medical Sciences (AIIMS), New Delhi, India *E-mail address for P. Vatsya: [email protected] Investigation performed at All India Institute of Medical Sciences (AIIMS), New Delhi, India Disclosure: The Disclosure of Potential Conflicts of Interest forms are provided with the online version of the article (https://links.lww.com/JBJSCC/B961). JBJS Case Connector 12(4):e22.00314, October-December 2022. | DOI: 10.2106/JBJS.CC.22.00314 Buy Metrics Abstract Case: We report 2 cases of atraumatic, bilateral femoral neck fracture nonunions. Both the patients were relatively young and had underlying nutritional osteomalacia. In both cases, valgus intertrochanteric osteotomy was performed along with vitamin D and calcium supplementation. The patients were followed up for an average of 3 years and achieved bone union without any complications. Conclusion: Bilateral femoral neck fractures are rare, and bilateral nonunion of femoral neck fractures secondary to osteomalacia is even rarer. Valgus intertrochanteric osteotomy can salvage the hip. Correction of underlying osteomalacia by vitamin D and calcium supplementation preceeded surgical intervention in our cases. Copyright © 2022 by The Journal of Bone and Joint Surgery, Incorporated
