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Case Report | Orthopaedic Surgery | Volume 15 Issue 5, May 2026 | Pages: 1151 - 1153 | India
Exceptional 25-Year Survival of Cemented Non- Modular Bilateral Total Hip Arthroplasty in Neglected Bilateral Neck Femur Fractures with Bilateral Hip Dislocation: A Rare Case Report with Narrative Review in Modern Era
Abstract: Neglected bilateral femoral neck fractures with bilateral hip dislocation are extremely rare and present formidable reconstructive challenges. Long-term survivorship data following first-generation total hip arthroplasty (THA) in such complex scenarios are scarce. A narrative review of the literature was undertaken to evaluate the epidemiology, pathophysiology, and management of neglected femoral neck fractures, with emphasis on arthroplasty and implant longevity. Available evidence indicates that arthroplasty provides reliable pain relief and functional restoration in chronic cases. Although cemented THA is less commonly used in contemporary practice, it has demonstrated durable fixation and long-term survival when performed using sound surgical principles. An exceptional case of a two-year neglected bilateral femoral neck fracture with bilateral hip dislocation treated by staged bilateral cemented THA using non-modular stems and 22-mm Charnley heads is presented, with 25-year clinical and radiological follow-up. The patient, now 76 years old, remains ambulatory without support and continues active farming. This case highlights the remarkable durability and functional success of early-generation cemented THA in rare neglected injuries.
Keywords: Bilateral neck femur fracture, neglected fracture, stage bilateral THA, cemented hip arthroplasty, long-term follow-up
How to Cite?: Dr Govindbhai Jashvantlal Purohit, Dr. Yogesh Purohit, "Exceptional 25-Year Survival of Cemented Non- Modular Bilateral Total Hip Arthroplasty in Neglected Bilateral Neck Femur Fractures with Bilateral Hip Dislocation: A Rare Case Report with Narrative Review in Modern Era", Volume 15 Issue 5, May 2026, International Journal of Science and Research (IJSR), Pages: 1151-1153, https://www.ijsr.net/getabstract.php?paperid=SR26518102514, DOI: https://dx.dx.doi.org/10.21275/SR26518102514