Fractures in lower limbs with prior amputation. A study of ninety cases.
Eighty-five lower-limb amputees with ninety subsequent fractures of the residual limb were studied retrospectively. Most of the fractures were managed by non-operative methods, with the exception of unstable intertrochanteric fractures and displaced fractures of the femoral neck. Indications for operative and non-operative treatment in below-the-knee and above-the-knee amputees are outlined. No indication was found for reamputation through the fracture site. Before fracture, all amputees used a prosthesis. After healing of the fracture, 97 per cent of the patients with amputation below the knee and 82 per cent of those with amputation above the knee resumed use of a prosthesis.
D000293:Adolescent; D000328:Adult; D000368:Aged; D000671:Amputation, Surgical; D001186:Artificial Limbs; D005260:Female; D005264:Femoral Fractures / Q000000981:diagnostic imaging / Q000628:therapy*; D006620:Hip Fractures / Q000000981:diagnostic imaging / Q000628:therapy*; D006801:Humans; D007866:Leg; D008297:Male; D008875:Middle Aged; D011859:Radiography; D012189:Retrospective Studies; D013978:Tibial Fractures / Q000000981:diagnostic imaging / Q000628:therapy*