Clavo endomedular para el tratamiento quirúrgico de fracturas inestables de fémur en pacientes previamente amputados

INTRODUCTION: Femoral fractures in previously amputated patients (PAP) have been poorly reported in international literature, however it is worth mentioning that advances in the manufacture of orthotics for lower limbs have allowed these patients to remain functionally active. Surgery is then an option but difficulties may appear in positioning the patient for surgery due to the absence of the foot or ankle from where to pull and optimize the fracture reduction. OBJECTIVE: We report 3 cases of PAP with ipsilateral unstable femur fractures, treated surgically with cervicodiaphyseal endomedular nail. The surgical technique used in each case is described. RESULTS: Good long-term results were obtained demonstrating the effectiveness of surgical treatment and the reduction technique used. CONCLUSION: Surgical treatment of unstable fractures of the proximal femur with an endomedullary nail should be considered a valid therapeutic option.