Introduction:
Bilateral femoral fractures in children (BFFC) are an uncommon condition. Only a few cases were reported in the literature. The frequency and outcome in low-setting facilities are unknown. This study aims to describe our experience in managing BFFC.
Patients and Methods:
A 10-year ongoing study spanning from 2010 to 2020 was held in a level-1 paediatric facility. We included all cases of BFFC on a bone-free disease with at least 10 months of follow-up time. Data were collected and analysed with statistical software.
Results:
A total of eight patients with ten BFFC were collected. It involved mainly boys (
n
= 7/8) with median age of 8 years. Mechanism of injury were a road traffic accident (
n
= 4), a fall from height (
n
= 3), and been crushed by a falling wall (
n
= 1). Associated injuries were frequent (
n
= 6/8). Patients were managed nonoperatively with spica cast (
n
= 5) and by elastic intramedullary nails (
n
= 3). After 6.11 years of mean follow-up time, all fractures healed. The outcome was excellent and good in 7 cases. One patient sustained knees stiffness.
Conclusion:
Non-operative management of BFFC showed satisfactory outcomes. Early surgical care must be developed in our low-income settings to reduce in-hospital stay and encourage early weight-bearing.