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Safe and Effective Reduction Technique for Intertrochanteric Fracture with Ipsilateral Below-Knee Amputated Limb
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...
Autores principales: | , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Hindawi
2017
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5446871/ https://www.ncbi.nlm.nih.gov/pubmed/28589052 http://dx.doi.org/10.1155/2017/2672905 |
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author | Ochi, Hironori Baba, Tomonori Hamanaka, Takahiro Ozaki, Yu Watari, Taiji Homma, Yasuhiro Matsumoto, Mikio Kaneko, Kazuo |
author_facet | Ochi, Hironori Baba, Tomonori Hamanaka, Takahiro Ozaki, Yu Watari, Taiji Homma, Yasuhiro Matsumoto, Mikio Kaneko, Kazuo |
author_sort | Ochi, Hironori |
collection | PubMed |
description | 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. |
format | Online Article Text |
id | pubmed-5446871 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2017 |
publisher | Hindawi |
record_format | MEDLINE/PubMed |
spelling | pubmed-54468712017-06-06 Safe and Effective Reduction Technique for Intertrochanteric Fracture with Ipsilateral Below-Knee Amputated Limb Ochi, Hironori Baba, Tomonori Hamanaka, Takahiro Ozaki, Yu Watari, Taiji Homma, Yasuhiro Matsumoto, Mikio Kaneko, Kazuo Case Rep Orthop Case Report 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. Hindawi 2017 2017-05-14 /pmc/articles/PMC5446871/ /pubmed/28589052 http://dx.doi.org/10.1155/2017/2672905 Text en Copyright © 2017 Hironori Ochi et al. https://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Case Report Ochi, Hironori Baba, Tomonori Hamanaka, Takahiro Ozaki, Yu Watari, Taiji Homma, Yasuhiro Matsumoto, Mikio Kaneko, Kazuo Safe and Effective Reduction Technique for Intertrochanteric Fracture with Ipsilateral Below-Knee Amputated Limb |
title | Safe and Effective Reduction Technique for Intertrochanteric Fracture with Ipsilateral Below-Knee Amputated Limb |
title_full | Safe and Effective Reduction Technique for Intertrochanteric Fracture with Ipsilateral Below-Knee Amputated Limb |
title_fullStr | Safe and Effective Reduction Technique for Intertrochanteric Fracture with Ipsilateral Below-Knee Amputated Limb |
title_full_unstemmed | Safe and Effective Reduction Technique for Intertrochanteric Fracture with Ipsilateral Below-Knee Amputated Limb |
title_short | Safe and Effective Reduction Technique for Intertrochanteric Fracture with Ipsilateral Below-Knee Amputated Limb |
title_sort | safe and effective reduction technique for intertrochanteric fracture with ipsilateral below-knee amputated limb |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5446871/ https://www.ncbi.nlm.nih.gov/pubmed/28589052 http://dx.doi.org/10.1155/2017/2672905 |
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