Bilateral hip fracture in a patient with Down syndrome

Authors

  • P. Díaz de Rada Hospital Reina Sofía de Tudela
  • V. Machado Clínica Universidad de Navarra https://orcid.org/0000-0002-0162-9383
  • C. Villas Clínica Universidad de Navarra
  • M. Alfonso Clínica Universidad de Navarra

DOI:

https://doi.org/10.23938/ASSN.0634

Keywords:

Síndrome de Down, fractura de cadera bilateral, fractura de cadera atraumática.

Abstract

There are few published data available about simultaneous bilateral hip fractures. We present the case of a 56-year-old man with Down syndrome and Alzheimer-like dementia with simultaneous bilateral hip fracture. A bilateral partial hip cemented arthroplasty was performed on this patient. The aim was to avoid the partial burden that could be caused by ostheosynthesis, due to the patient’s lack of cooperation arising from his mental deterioration and his problems realizing everyday activities. He was able to walk unaided with complete autonomy until his death fourth years later.

In our experience, one stage surgery for bilateral hip prosthesis is safe and provides good results in patients with severe mental impairment.

Downloads

Download data is not yet available.

References

ZYWIEL MG, MONT MA, CALLAGHAN JJ, CLOHISY JC, KOSASHVILI Y, BACKSTEIN D et al. Surgical challenges and clinical outcomes of total hip replacement in patients with Downs’s syndrome. Bone Joint J 2013; 95-B (Suppl A): 41-45. https://doi.org/10.1302/0301-620X.95B11.32901

ALLAN E, GROSS MD, JOHN J, CALLAGHAN MD, MICHAEL G, ZYWIEL MD et al. Total hip arthroplasty in Down syndrome patients: an improvement in quality of life replacement arthroplasty in Down syndrome (RADS) study group. J Arthroplasty 2013; 28: 701-706. https://doi.org/10.1016/j.arth.2012.08.022

CABANELA ME, WEBER M. Total hip arthroplasty in patients with neuromuscular disease. Instr Course Lect. 2000; 49: 163-168.

HRESKO MT, MCCARTHY JC, GOLDBERG MJ. Hip disease in adults with Down syndrome. J Bone Joint Surg Br 1993; 75: 604-607. https://doi.org/10.1302/0301-620X.75B4.8331117

KIOSCHOS M, SHAW ED, BEALS RK. Total hip arthroplasty in patients with Down´s syndrome. J Bone Joint Surg Br 1999; 81: 436-439. https://doi.org/10.1302/0301-620X.81B3.9452

SHAW ED, BEALS RK. The hip joint in Down´s syndrome. A study of its structure and associated disease. Clin Orthop Relat Res 1992; 278: 101-107.

SKOFF HD, KEGGI K. Total hip replacement in Down´s syndrome. Orthopedics 1987; 10: 485-489.

BEGUIRISTAÍN JL, BARRIGA A, GENT RA. Femoral anteversion osteotomy for the treatment of hip dislocation in Down syndrome: long-term evolution. J Pediatr Orthop B 2001; 10: 85-88.

GREENE WB. Closed treatment of hip dislocation in Down syndrome. J Pediatr Orthop 1998; 18: 643-647. https://doi.org/10.1097/00004694-199809000-00017

SOLAYAR G, HUSSEY D, KELLY B, MULHALL KJ. Down´s syndrome and hip arthropaty. Ir Med J 2009; 102: 30-31.

GROSS AE, CALLAHAN JJ, ZYIEL MG, GREINER JJ, KOSASHVILI Y, JOHNSON AJ et al. Total hip arthroplasty in Down syndrome patients: An improvement in quality of life: replacement arthroplasty in Down syndrome (RADS) study group. J Arthroplasty 2013; 28: 701-706. https://doi.org/10.1016/j.arth.2012.08.022

TAYLOR DW, MACDONALD MP, KOSASHVILI Y GROSS AE. Total hip arthroplasty to treat congenital musculoskeletal abnormalities in the juvenile Down syndrome hip: review of the literature with case. J Pediatr Orthop B 2012; 21: 235-239. https://doi.org/10.1097/BPB.0b013e32834c316d

EMAMI MJ, ABDOLLAHPOUR HR, KAZEMI AR, VOSOUGHI AR. Bilateral subcapital femoral neck fractures secondary to transient osteoporosis during pregnancy: a case report. J Orthop Surg 2012; 20: 260-262. https://doi.org/10.1177/230949901202000227

GRIMALDI M, VOUALLAT H, TONETTI J, MERLOZ P. Simultaneous bilateral femoral neck fractures secondary to epileptic seizures: treatment by bilateral hip arthroplasty. Orthops Traumatol Surg Res 2009; 95: 555-557. https://doi.org/10.1016/j.otsr.2009.04.018

MARSH PM, LEITER JRS, MACDONALD P. Bilateral femoral neck fractures resulting from a grand mal seizure in an elderly man with Down syndrome. Orthop Rev 2010; 2: 31-32. https://doi.org/10.4081/or.2010.e10

WILLIS-OWEN CA, DAURKA JS, CHEN A, LEWIS A. Bilateral non-traumatic acetabular and femoral neck fractures due to transient osteoporosis of pregnancy: a case report. Cases J 2008; 1: 120. https://doi.org/10.1186/1757-1626-1-120

Published

2019-08-23

How to Cite

Díaz de Rada, P., Machado, V., Villas, C., & Alfonso, M. (2019). Bilateral hip fracture in a patient with Down syndrome. Anales Del Sistema Sanitario De Navarra, 42(2), 231–234. https://doi.org/10.23938/ASSN.0634

Issue

Section

Clinical notes