Introduction: Hip fractures are significant global health concern, due to high morbidity and mortality especially for elderly patients. Simultaneous bilateral intertrochanteric fractures are rare injuries typically linked to high- energy trauma, but they can also happen to osteoporotic patients following low-energy mechanisms.

Case Presentation: We report a rare case of simultaneous bilateral intertrochanteric femur fractures due to low-energy trauma in an elder patient who was presented to our tertiary Hospital Emergency department (King Hussein Medical Hospital). The patient received surgical treatment using closed reduction internal fixation methods specific to each fracture pattern. To maximize healing after surgery, early mobilization and multidisciplinary care were used. During follow-up, the patient showed good functional improvement and no significant complications.

Discussion/Conclusion: Simultaneous bilateral intertrochanteric fractures provide considerable therapeutic challenges due to their rarity, complexity, and increased physiological strains on the patients involved. In low-energy trauma, osteoporosis is a major factor in pathogenesis. Stable fixation that permits early mobilization is essential for functional recovery and may reduce postoperative complications and opioid dependence which should be among the goals of surgical management and hence enhance results. This case emphasizes the significance of customized surgical planning, early rehabilitation, and a multidisciplinary approach.