{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,4]],"date-time":"2026-03-04T15:42:35Z","timestamp":1772638955406,"version":"3.50.1"},"reference-count":16,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"C","license":[{"start":{"date-parts":[[2025,5,1]],"date-time":"2025-05-01T00:00:00Z","timestamp":1746057600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2025,5,1]],"date-time":"2025-05-01T00:00:00Z","timestamp":1746057600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2025,4,5]],"date-time":"2025-04-05T00:00:00Z","timestamp":1743811200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2025,5]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction:<\/jats:title>\n                    <jats:p>Paediatric femur fractures are well described. Simultaneous bilateral femur fractures are a much more rare occurrence with limited literature on their incidence, treatment protocol and outcomes. This case report outlines the radiological and clinical outcomes of bilateral femur fractures which were managed surgically in our institution.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Case report:<\/jats:title>\n                    <jats:p>We report a 7 year old child that sustained bilateral femur fractures subsequent to an access gate falling on him. He was managed surgically with titanium elastic nailing on the left and a proximal femur locking plate for the right.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion:<\/jats:title>\n                    <jats:p>Bilateral femur fractures are rare and mostly due to motor vehicle accidents and falls. They can present with multiple comorbid injuries due to the high-energy accidents. The incidence and mean age of injury are unclear. The treatment of bilateral femur fractures in the paediatric population can be conservative or surgical depending on age and other factors.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Simultaneous traumatic bilateral femur fractures, although rare, have good clinical and radiological outcomes when treated conservatively or surgically, as is shown in our case.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Highlights<\/jats:title>\n                  <\/jats:sec>","DOI":"10.1016\/j.ijscr.2025.111276","type":"journal-article","created":{"date-parts":[[2025,4,8]],"date-time":"2025-04-08T12:26:55Z","timestamp":1744115215000},"update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Simultaneous traumatic bilateral femur fractures in the paediatric population: Case report"],"prefix":"10.1097","volume":"130","author":[{"given":"Lubabalo","family":"Guzana","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Collen Sandile","family":"Nkosi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"276","reference":[{"issue":"2","key":"R1-52-20260304","doi-asserted-by":"crossref","first-page":"136","DOI":"10.1302\/1863-2548.12.170201","article-title":"Systematic review of spica casting for the treatment of paediatric diaphyseal femur fractures","volume":"12","author":"Tisherman","year":"2018","journal-title":"J. Child. Orthop"},{"issue":"4","key":"R2-52-20260304","first-page":"23","article-title":"The epidemiology of femur shaft fractures in children","volume":"12","author":"Mughal","year":"2013","journal-title":"SA Orthop. J"},{"key":"R3-52-20260304","doi-asserted-by":"crossref","first-page":"87","DOI":"10.1007\/s11751-016-0258-2","article-title":"The management of paediatric diaphyseal femoral fractures: a modern approach","volume":"11","author":"Khoriati","year":"2016","journal-title":"Strateg. Trauma Limb Reconstr"},{"issue":"5","key":"R4-52-20260304","doi-asserted-by":"crossref","first-page":"561","DOI":"10.1097\/01.bpo.0000230335.19029.ab","article-title":"Epidemiology and mechanisms of femur fractures in children","volume":"26","author":"Loder","year":"2006","journal-title":"J. Pediatr. Orthop"},{"issue":"5","key":"R5-52-20260304","doi-asserted-by":"crossref","first-page":"347","DOI":"10.5435\/00124635-200409000-00009","article-title":"Management of pediatric femoral shaft fractures","volume":"12","author":"Flynn","year":"2004","journal-title":"JAAOS-J. Am. Acad. Orthop. Surg"},{"issue":"2","key":"R6-52-20260304","doi-asserted-by":"crossref","first-page":"106","DOI":"10.2106\/JBJS.N.00664","article-title":"Transverse fractures of the femoral shaft are a better predictor of nonaccidental trauma in young children than spiral fractures are","volume":"97","author":"Murphy","year":"2015","journal-title":"JBJS"},{"issue":"9","key":"R7-52-20260304","first-page":"648","article-title":"Pediatric femoral fractures: a systematic review of 2422 cases","volume":"20","author":"Poolman","year":"2006","journal-title":"J. Orthop. Trauma"},{"key":"R8-52-20260304","doi-asserted-by":"crossref","first-page":"55","DOI":"10.1007\/s43465-020-00281-6","article-title":"Pediatric femoral shaft fracture: an age-based treatment algorithm","volume":"55","author":"Liau","year":"2021","journal-title":"Indian J. Orthop"},{"issue":"5","key":"R9-52-20260304","doi-asserted-by":"crossref","first-page":"594","DOI":"10.1097\/01241398-200109000-00008","article-title":"Early versus late femoral fracture stabilization in multiply injured pediatric patients with closed head injury","volume":"21","author":"Mendelson","year":"2001","journal-title":"J. Pediatr. Orthop"},{"issue":"1","key":"R10-52-20260304","first-page":"167","article-title":"Simultaneous bilateral femur fractures in children: a case series from a pediatric level I trauma center and review of the literature","volume":"40","author":"Shah","year":"2020","journal-title":"Iowa Orthop. J"},{"issue":"2","key":"R11-52-20260304","first-page":"120","article-title":"Simultaneous bilateral femoral fracture in children","volume":"20","author":"Ou\u00e9draogo","year":"2023","journal-title":"Afr. J. Paediatr. Surg"},{"key":"R12-52-20260304","doi-asserted-by":"crossref","first-page":"96","DOI":"10.1097\/00003086-200007000-00014","article-title":"Accidental and nonaccidental femur fractures in children","volume":"376","author":"Scherl","year":"2000","journal-title":"Clin. Orthop. Relat. Res. (1976-2007)"},{"key":"R13-52-20260304","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1186\/s12891-020-03796-z","article-title":"Epidemiology of pediatric femur fractures in children: the Swedish Fracture Register","volume":"21","author":"Engstr\u00f6m","year":"2020","journal-title":"BMC Musculoskelet. Disord"},{"issue":"4","key":"R14-52-20260304","doi-asserted-by":"crossref","first-page":"350","DOI":"10.1097\/BPB.0000000000000375","article-title":"Bilateral femoral neck fractures associated with complex pelvic ring injuries in a pediatric patient: a case report","volume":"26","author":"Scott","year":"2017","journal-title":"J. Pediatr. Orthop. B"},{"issue":"3","key":"R15-52-20260304","doi-asserted-by":"crossref","first-page":"405","DOI":"10.1097\/01241398-200005000-00027","article-title":"Outcomes of external fixation of pediatric femoral shaft fractures","volume":"20","author":"Miner","year":"2000","journal-title":"J. Pediatr. Orthop"},{"issue":"5","key":"R16-52-20260304","doi-asserted-by":"crossref","first-page":"1136","DOI":"10.1097\/JS9.0000000000000373","article-title":"The SCARE 2023 guideline: updating consensus Surgical CAse REport (SCARE) guidelines","volume":"109","author":"Sohrabi","year":"2023","journal-title":"Int. J. Surg. Lond. Engl"}],"container-title":["International Journal of Surgery Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2210261225004626?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2210261225004626?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.lww.com\/10.1016\/j.ijscr.2025.111276","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,3,4]],"date-time":"2026-03-04T10:01:36Z","timestamp":1772618496000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.lww.com\/10.1016\/j.ijscr.2025.111276"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,5]]},"references-count":16,"journal-issue":{"issue":"C","published-print":{"date-parts":[[2025]]}},"URL":"https:\/\/doi.org\/10.1016\/j.ijscr.2025.111276","relation":{},"ISSN":["2210-2612"],"issn-type":[{"value":"2210-2612","type":"print"}],"subject":[],"published":{"date-parts":[[2025,5]]},"assertion":[{"value":"2025-02-17","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-04-05","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}