scholarly journals A Simple Technique for the Positioning of a Patient with an above Knee Amputation for an Ipsilateral Extracapsular Hip Fracture Fixation

2013 ◽  
Vol 2013 ◽  
pp. 1-3 ◽  
Author(s):  
N. Davarinos ◽  
P. Ellanti ◽  
G. McCoy
Keyword(s):  
Hip Fracture ◽  
Simple Technique ◽  
Relative Ease ◽  
Significant Challenge ◽  
Knee Amputation ◽  
Fracture Table ◽  
Hip Screw ◽  
Operative Fixation ◽  
Positioning Technique ◽  
Successful Reduction

The positioning of the patient on the fracture table is critical to the successful reduction and operative fixation of hip fractures which are fixed using the dynamic hip screw system (DHS). There is a standard setup which is commonly used with relative ease. Yet the positioning of patients with amputations either above or below knee of the affected side can pose a significant challenge. We describe a novel positioning technique used on a 51-year old patient with a right above knee amputation who sustained an intertrochanteric extracapsular hip fracture.

scholarly journals Safe and Effective Reduction Technique for Intertrochanteric Fracture with Ipsilateral Below-Knee Amputated Limb

2017 ◽  
Vol 2017 ◽  
pp. 1-4
Author(s):  
Hironori Ochi ◽  
Tomonori Baba ◽  
Takahiro Hamanaka ◽  
Yu Ozaki ◽  
Taiji Watari ◽  
...  
Keyword(s):  
Traffic Accident ◽  
Intertrochanteric Fracture ◽  
Standard Procedure ◽  
Weight Bearing ◽  
Full Weight Bearing ◽  
Fracture Table ◽  
Effective Reduction ◽  
Operative Fixation ◽  
The Right ◽  
Successful Reduction

The positioning of the patient on the fracture table is critical for the successful reduction and operative fixation of intertrochanteric hip fractures. However, this manipulation is challenging with patients who have undergone amputations of their legs. A 97-year-old man presented to the emergency department with symptom of right hip pain following a mechanical fall. He had a below-knee amputation on his right leg following a traffic accident as a 19-year-old and had a below-knee patellar tendon bearing prosthesis fitted to his lower limb for mobility. Radiographs of his pelvis revealed a displaced intertrochanteric fracture of the right side femur. The patient was positioned on a fracture table, as in the standard procedure. The method of inverting the traction boot to accommodate the flexed knee and stump described by Al-Harthy could be used to provide traction and rotational control. Internal fixation was performed using a short femoral nail. Postoperatively, the patient could walk with full weight bearing using a prosthesis on his affected limb. The method of inverting the traction boot to accommodate the flexed knee and stump can be used safely and effectively to achieve and maintain fracture reduction during fixation of intertrochanteric fractures for patients with a below-knee amputated limb.

scholarly journals Breakage of sliding hip screw after fixation of pertrochanteric hip fracture: A rare complication

2021 ◽  
pp. 106226
Author(s):  
Ali Hassan Chamseddine ◽  
Abbas A. Dib ◽  
Hassan M. Wardani ◽  
Mohammad O. Boushnak
Keyword(s):  
Hip Fracture ◽  
Rare Complication ◽  
Sliding Hip Screw ◽  
Hip Screw

scholarly journals Design and biomechanical study of slide-poking external fixator for hip fracture

2020 ◽  
Vol 48 (12) ◽  
pp. 030006052095093
Author(s):  
Hua-Biao Chen ◽  
Hong-Bo Wu ◽  
Min Chen ◽  
Yu-Liang Huang
Keyword(s):  
Hip Fracture ◽  
Femoral Head ◽  
Hip Fractures ◽  
External Fixator ◽  
Dynamic Hip Screw ◽  
Control Groups ◽  
Vertical Loading ◽  
Hip Screw ◽  
The Mean ◽  
And Control

Background Femoral head collapse and coxa vara lead to internal fixator failure in elderly patients with hip fracture. External fixator application is an optimal choice; however, the existing methods have many disadvantages. Methods Type 31-A1.3 hip fracture models were developed in nine pairs of 1-year-old fresh bovine corpse femur specimens. Each left femur specimen was fixed by a dynamic hip screw (control group), and each right femur specimen was fixed by the slide-poking external fixator (experimental group). Vertical loading and torsion tests were then performed in both groups. Results In the vertical loading experiment, a 1000-N load was implemented. The mean vertical downward displacement of the femoral head in the experimental and control groups was 1.49322 ± 0.116280 and 2.13656 ± 0.166374 mm, respectively. In the torsion experiment, when the torsion was increased to 10.0 Nm, the mean torsion angle in the experimental and control groups was 7.9733° ± 1.65704° and 15.4889° ± 0.73228°, respectively. The slide-poking external fixator was significantly more resistant to compression and rotation than the dynamic hip screw. Conclusion The slide-poking external fixator for hip fractures that was designed and developed in this study can provide sufficient stability to resist compression and rotation in hip fractures.

scholarly journals Hip fracture fixation in a patient with below-knee amputation presents a surgical dilemma: a case report

2008 ◽  
Vol 2 (1) ◽  
Author(s):  
Ulfin Rethnam ◽  
Rajam Sheeja Yesupalan ◽  
Amer Shoaib ◽  
Thanga K Ratnam
Keyword(s):  
Case Report ◽  
Hip Fracture ◽  
Fracture Fixation ◽  
Knee Amputation

scholarly journals Manipulation of intertrochanteric fractures in patients with below- or above-knee amputation using a fracture table

Medicine ◽  
2021 ◽  
Vol 100 (2) ◽  
pp. e24233
Author(s):  
Sang-Min Lee ◽  
Kuen Tak Suh ◽  
Young Kwang Oh ◽  
Won Chul Shin
Keyword(s):  
Intertrochanteric Fractures ◽  
Knee Amputation ◽  
Fracture Table
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