Total hip arthroplasty in a patient with ipsilateral transfemoral amputation
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Abstract
Hip fractures in patients with ipsilateral limb amputations are uncommon injuries that pose a challenge for orthopedic surgeons. In this article, we present our experience in the treatment of a 63-year man with left transfemoral amputation, who suffered a left femoral neck fracture after a fall from standing height. Proper placement of the prosthesis is essential to achieve good postoperative clinical outcomes. A Steinmann pin was inserted into the greater trochanter to facilitate exposure and component placement. No clinical or radiological complications were detected in a 15-month follow-up. We believe that the correct placement of a Steinmann pin is a good alternative that provides adequate control over the extremity when performing an arthroplasty, thus reducing the risks for prosthesis displacement and shortening the surgical time.
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