Intertrochanteric Fracture Fixation Using a Traction Table in a Patient with Ipsilateral Above-knee Amputation - A Case Report and Review of Reduction Techniques.
| Autor: | Patwardhan SS; Department of Trauma and Orthopaedics, Salford Royal Hospital, Salford, Greater Manchester M6 8HD., Kempanna VH; Department of Trauma and Orthopaedics, Salford Royal Hospital, Salford, Greater Manchester M6 8HD., Al Najjar M; Department of Trauma and Orthopaedics, Salford Royal Hospital, Salford, Greater Manchester M6 8HD. |
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| Jazyk: | angličtina |
| Zdroj: | Journal of orthopaedic case reports [J Orthop Case Rep] 2024 Nov; Vol. 14 (11), pp. 178-182. |
| DOI: | 10.13107/jocr.2024.v14.i11.4958 |
| Abstrakt: | Introduction: Although commonly encountered in clinical practice and considered among the "bread and butter" cases in trauma and orthopedics, intertrochanteric fractures of the femur in certain scenarios pose a challenge to the orthopedic surgeon. Good reduction and stable fixation are a key for good outcome, and certain anatomical limitations such as amputations make that difficult to achieve. Ipsilateral above-knee amputation is a scenario where positioning of the patient on an orthopedic fracture table and reduction of the fracture becomes challenging. Case Report: An active 59-year-old female with good functional baseline and ipsilateral above-knee amputation presented with an intertrochanteric fracture of the right proximal femur. The fracture was treated operatively and fixed with a dynamic hip screw (DHS). This case report highlights the technique of positioning of the patient and reduction of the fracture on a traction table using skeletal traction though the amputation stump with a Denham pin connected to the traction device. Conclusion: This technique provides a reliable and stable means of reducing the fracture using skeletal traction through the bone itself and will be helpful to any orthopedic surgeon faced with a similar situation. This report also sheds light on current literature regarding different ways of overcoming the challenge of positioning and reducing intertrochanteric/intracapsular neck femur fractures using the orthopedic traction table in patients with ipsilateral limb amputations. Competing Interests: Conflict of Interest: Nil (Copyright: © Indian Orthopaedic Research Group.) |
| Databáze: | MEDLINE |
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