The neck of femur fractures are common in the aging population. Young people typically sustain neck of femur fracture following a high-energy injury. Simultaneous bilateral neck of femur (BNOF) fractures in young patients are a rare entity. They might be sustained following a seizure episode. Timely diagnosis and treatment of these injuries are important and can affect the treatment modality and outcome. Internal fixation is desired in young, active, and healthy patients presenting with BNOF fractures. We report a case of a young adult presented with BNOF fractures following a single seizure episode. Bilateral open reduction and internal fixation using cannulated screws was chosen for this patient treatment. He was followed up for 2 years and showed a desirable outcome.
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