Total hip arthroplasty for an intracapsular femoral neck fracture of high-femoral amputee

##plugins.themes.bootstrap3.article.main##

##plugins.themes.bootstrap3.article.sidebar##

Published Apr 29, 2022
DOI: https://doi.org/10.22551/2022.35.0902.10203
Panagiotis Christidis http://orcid.org/0000-0003-4324-5051 Theofanis Kantas Christos Kalitsis Sampria Georgia Frechat Georgios Biniaris Nikolaos Gougoulias

Abstract

Femoral neck fractures in transfemoral amputees are not common and management is associated with surgical technique and post-operative rehabilitation challenges. A 61-year-old Caucasian, male, above-knee amputee (following mangled extremity trauma 8 months before) who mobilized with a prosthesis presented to the emergency department with a right femoral neck fracture (Garden III). The patient underwent cementless total hip replacement (THR), using the lateral (Hardinges) approach. No additional instrument was used to manipulate the residual femoral stump. The absence of the distal limb required careful preparation of the femoral canal, taking into consideration the position of the lesser trochanter, in order to appropriately align the femoral prosthesis regarding anteversion. Postoperative recovery was uneventful. Six months later, the patient was ambulating using his prothesis and had almost returned to his pre-injury activity status. Satisfactory results can be obtained after THR in trans-femoral amputees.

##plugins.themes.bootstrap3.article.details##

Keywords

total hip arthroplasty, total hip replacement, above-knee amputation, femoral neck fracture, intracapsular femoral fracture, subcapital femoral fracture

References
Mirdad T, Khan MRH, Kazarah Y. Fracture of the femur in amputation stumps. Ann Saudi Med. 1997; 17(6):638–640. DOI: 10.5144/0256-4947.1997.638
2. Boussakri H, Alassaf I, Hamoudi S, et al. Hip arthroplasty in a patient with transfemoral amputation: A new tip. Case Rep Orthop. 2015; 2015: 593747. DOI: 10.1155/2015/593747
3. Perumal R, Gaddam SR, Vasudeva J, Dheenadhayalan J, Rajasekaran S. Bipolar hemiarthroplasty in a patient with above-knee amputation: Surgical technique. J Orthop Case Reports. 2017; 7(1):54–57. DOI: 10.13107/jocr.2250-0685.686
4. Patnaik S, Nayak B, Sahoo AK, Sahu NK. Minimally invasive total hip replacement in an ipsilateral post-traumatic above-knee amputation: A case report. J Orthop Case Rep. 2017; 7(2):3–6. DOI: 10.13107/jocr.2250-0685.722
5. Ma C, Lv Q, Yi C, Ma J, Zhu L. Ipsilateral total hip arthroplasty in patient with an above-knee amputee for femoral neck fracture: A case report. Int J Clin Exp Med. 2015; 8(2):2279–2283. PMID: 25932163
6. Kandel L, Hernandez M, Safran O, Schwartz I, Liebergall M, Mattan Y. Bipolar hip hemiarthroplasty in a patient with an above knee amputation: A case report. J Orthop Surg Res. 2009; 4:30. DOI: 10.1186/1749-799X-4-30
7. Nannaparaju M, Annavaram K, Anwar R, Khan WS, Hambidge J. Serial femoral fractures in an amputation stump: A case report. Open Orthop J. 2017; 11(1):316–320. DOI: 10.2174/1874325001711010316
8. Jain A, Bansal H, Mittal S, Kumar A, Trikha V. Intracapsular fracture of the proximal femur in a bilateral above-knee amputee: A case report with technical tips for intraoperative positioning and literature review. Chin J Traumatol. 2021; S1008-1275(21)00154-1. DOI: 10.1016/j.cjtee.2021.09.003
How to Cite
Christidis, P., Kantas, T., Kalitsis, C., Frechat, S. G., Biniaris, G., & Gougoulias, N. (2022). Total hip arthroplasty for an intracapsular femoral neck fracture of high-femoral amputee. Archive of Clinical Cases, 9(2), Arch Clin Cases 2022; 9(2):50-55. https://doi.org/10.22551/2022.35.0902.10203
Issue
Vol. 9 No. 2 (2022)
Section
Case Reports

Archive of Clinical Cases is protected by copyright and may be used in accordance with copyright and other applicable laws. Content available at www.clinicalcases.eu and our digital applications is intended for personal noncommercial use.

Authors who submit a manuscript for publication in Archive of Clinical Cases agree to the following terms: a. Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal. b. Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal. c. Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) only after the final version of the manuscript was accepted and published, as it can lead to productive exchanges, as well as earlier and greater citation of published work (See The Effect of Open Access). d. It is compulsory that before submission authors ensure that their work was not published in any other medical journals or pending acceptance for publication and that "Archives of Clinical Cases" is the only beneficiary at that moment if their work/case will be accepted by us.

Guidelines for linking to www.clinicalcases.eu a. The main purpose of the site linking to the Archive of Clinical Casess site should be educational. b. Links should be made to the Archive of Clinical Casess home page (www.clinicalcases.eu) or to the articles abstract. c. It is forbidden to use the Archive of Clinical Casess cover by outside organizations unless permission has been granted in advance, notifying our Secretary. d. Material owned by the Archive of Clinical Cases (including the name, logo, cover, and text) may not be used in any manner that may induce the idea or suggest that the Archive of Clinical Cases is in some way recommending a specific company, product or service. e. You must not use or allow others to access or use, all or any part of our Site or the contents and/or applications on it for commercial purposes without our permission. To seek permission to do anything prohibited by or not contained in these TERMS, or which requires our prior consent or agreement, you can contact us.

How to Cite

Christidis, P., Kantas, T., Kalitsis, C., Frechat, S. G., Biniaris, G., & Gougoulias, N. (2022). Total hip arthroplasty for an intracapsular femoral neck fracture of high-femoral amputee. Archive of Clinical Cases, 9(2), Arch Clin Cases 2022; 9(2):50-55. https://doi.org/10.22551/2022.35.0902.10203