Intracapsular fracture of the proximal femur in a bilateral above-knee amputee: A case report with technical tips for intraoperative positioning and literature review.
10.1016/j.cjtee.2021.09.003
- Author:
Aditya JAIN
1
;
Hemant BANSAL
2
;
Samarth MITTAL
3
;
Arvind KUMAR
4
;
Vivek TRIKHA
2
Author Information
1. Primus Super Specialty Hospital, New Delhi, India.
2. Department of Orthopaedics, Jay Prakash Narayan Apex Trauma Center, All India Institute of Medical Sciences, New Delhi, India.
3. Department of Orthopaedics, Jay Prakash Narayan Apex Trauma Center, All India Institute of Medical Sciences, New Delhi, India. Electronic address: samarthmittal@gmail.com.
4. Department of Orthopaedics, Hamdard Institute of Medical Sciences & Research, New Delhi, India.
- Publication Type:Review
- Keywords:
Above-knee amputation;
Bilateral amputee;
Femoral neck fractures;
Intraoperative positioning;
Surgical management
- MeSH:
Amputees;
Femoral Neck Fractures/surgery*;
Femur;
Fracture Fixation, Internal;
Humans;
Lower Extremity
- From:
Chinese Journal of Traumatology
2022;25(5):306-310
- CountryChina
- Language:English
-
Abstract:
Intracapsular fractures of the proximal femur are one of the most common fractures of the lower limbs. Most cases require osteosynthesis with suitable implants, and intraoperative positioning of the patient on the fracture table is a prerequisite to facilitate fracture manipulation, traction, reduction and fluoroscopy assessment. However, positioning the limbs of bilateral above-knee amputees for internal fixation of related proximal femoral fractures is a difficult task, which requires customized inventory for effective limb positioning and fracture manipulation. This study reported a rare case following a crush injury of bilateral lower limb in a road traffic accident, and described some technical tips of acute femoral neck fractures in bilateral above-knee amputation. The patient was managed with immediate guillotine amputation and later secondary wound closure followed by internal fixation of the right-sided femoral neck fracture with multiple cancellous cannulated screws.
