title: Primary Total Hip Replacement for a Femoral Neck Fracture in a Below-Knee Amputee.
abstract: BACKGROUND
  Femoral neck fracture on amputated limb is an uncommon lesion and challenging to manage.
  
  
  METHODS
  We report a case of a displaced neck fracture of the left femur in a 57-year-old female. She underwent at the age of the three a below-knee amputation of the ipsilateral limb for post traumatic ischemia. The fracture was managed by a total hip arthroplasty (THA), as a primary procedure. In this article we describe our experience of this unusual entity.
  
  
  CONCLUSIONS
  Total hip arthroplasty in patients with lower limb amputation is a challenging and uncommon intervention, especially when it's a primary procedure. It may provide satisfactory outcome, and allows early rehabilitation.
authors.affiliation: Department of Orthopedics, Ibn Jazzar Kairouan Hospital, Les aghlabites Surgical Unit, Kairouan, Tunisia.
authors.forename: Karim
authors.initials: K
authors.lastname: Masmoudi
authors.affiliation: Department of Orthopedics, Ibn Jazzar Kairouan Hospital, Les aghlabites Surgical Unit, Kairouan, Tunisia.
authors.forename: Hédi
authors.initials: H
authors.lastname: Rbai
authors.affiliation: Department of Orthopedics, Ibn Jazzar Kairouan Hospital, Les aghlabites Surgical Unit, Kairouan, Tunisia.
authors.forename: Ayman Ben
authors.initials: AB
authors.lastname: Fradj
authors.affiliation: Department of Orthopedics, Ibn Jazzar Kairouan Hospital, Les aghlabites Surgical Unit, Kairouan, Tunisia.
authors.forename: Jecem
authors.initials: J
authors.lastname: Saâdena
authors.affiliation: Department of Orthopedics, Ibn Jazzar Kairouan Hospital, Les aghlabites Surgical Unit, Kairouan, Tunisia.
authors.forename: Anouar
authors.initials: A
authors.lastname: Boughattas
keywords: amputations; femoral neck; hip fracture; total hip arthroplasty