Total hip arthroplasty in patients with below-knee amputations.
We present a unique small group of 5 patients with below-knee amputation who underwent total hip arthroplasty after a displaced subcapital fracture of the femur. Three patients were operated on after failed fixation of the fracture, and 2 were operated on as a primary procedure. All 5 patients resumed their prefracture level of activity and mobilization with no deterioration during follow-up (average, 69 months [range, 22-98]). These encouraging results call for use of total hip arthroplasty or hemiarthroplasty as the primary treatment modalities of patients with displaced subcapital femoral head fracture in an extremity with below-knee amputation.
Salai
M
M
Department of Orthopaedic Surgery, The Chaim Sheba Medical Center, Tel Hashomer, Israel.
Amit
Y
Y
Chechik
A
A
Blankstein
A
A
Dudkiewicz
I
I
D000368:Aged; D000672:Amputation Stumps; D019644:Arthroplasty, Replacement, Hip; D005260:Female; D005270:Femur Head / Q000293:injuries*; D006620:Hip Fractures / Q000000981:diagnostic imaging / Q000601:surgery*; D006621:Hip Joint / Q000000981:diagnostic imaging; D006801:Humans; D007866:Leg / Q000601:surgery; D008297:Male; D008875:Middle Aged; D011859:Radiography