CASE REPORT


Serial Femoral Fractures in An Amputation Stump: A Case Report



M. Nannaparaju1, K. Annavaram1, R. Anwar2, W. S. Khan3, *, J. Hambidge1
1 Havering and Redbridge University Hospitals NHS Trust, Romford, Essex RM7 0AG, London, United Kingdom
2 Princess Alexandra Hospital, Hamstel Road, Harlow CM20 1QX, London, United Kingdom
3 University College London Institute of Orthopaedics and Musculoskeletal Science, Royal National Orthopaedic Hospital, Stanmore HA7 4LP, London, United Kingdom


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© 2017 Nannaparaju et al.

open-access license: This is an open access article distributed under the terms of the Creative Commons Attribution 4.0 International Public License (CC-BY 4.0), a copy of which is available at: https://creativecommons.org/licenses/by/4.0/legalcode. This license permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

* Address correspondence to this author at the Clinical Lecturer, University College London Institute of Orthopaedics and Musculoskeletal Science, Royal National Orthopaedic Hospital, Stanmore, HA7 4LP, London, United Kingdom; Tel: +44 (0) 7791 025554; Fax: +44 (0) 20 8570 3864; E-mail: wasimkhan@doctors.org.uk


Abstract

We report a case of an above-knee amputee who underwent dynamic hip screw fixation for a proximal femoral fracture and then open reduction and internal fixation a few years later for a further femoral fracture in the same stump. The patient had a good outcome. We aim to discuss the challenges in decision making, surgical technique and potential complications for the patient.

Keywords: Above-knee amputation, Fracture, Dynamic hip screw, Open reduction and internal fixation, Complications, Rehabilitation.