Surgical Fixation of a Comminuted Inter-Trochanteric Fracture in a Patient with Bilateral Below Knee Amputation.

Lee Bh,Kau Yc,Ho Sw

doi:10.5704/moj.1803.013

Abstract

Surgical fixation of hip fractures in patients with below knee amputation is challenging due to the difficulty in obtaining optimal traction for reduction of the fracture. Surgeons may face difficulty in positioning such patients on the traction table due to the absence of the foot and distal lower limb. There are several techniques described to overcome this technical difficulty. In this case report, we present a case of a 64-year old gentleman with bilateral below knee amputation presenting with a comminuted right intertrochanteric fracture. We highlight a simple and effective method of applying skin traction to obtain adequate reduction for hip fracture fixation.

Highlights

With the advent of prosthetics, an increasing number of amputees are still ambulant and functionally active
In surgical treatments of extra-capsular fractures, adequate reduction of the hip fracture is critical for proper fixation
We present a case report of a 64-year old gentleman with bilateral below knee amputation who underwent a surgical fixation of a comminuted right intertrochanteric fracture

Summary

Introduction

With the advent of prosthetics, an increasing number of amputees are still ambulant and functionally active. The patient’s foot on the affected side is secured to a boot attached to the traction table, which allows the surgeon to achieve adequate and stable control of traction and rotation for fracture reduction. We present a case report of a 64-year old gentleman with bilateral below knee amputation who underwent a surgical fixation of a comminuted right intertrochanteric fracture.

Results

Conclusion