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.

Bilateral femoral fracture, children, elastic intramedullary nail, high‑energy trauma, low‑income setting