Case report of total hip replacement in an amputatee

Authors

  • Rajamanickam M. Velammal Medical College and Research Institute, Madurai, Tamil Nadu, India
  • Ramanathan A. Velammal Medical College and Research Institute, Madurai, Tamil Nadu, India
  • Subramanian K. N. Orthopaedics, Velammal Medical College and Research Institute, Madurai, Tamil Nadu, India
  • Ganesh G. Ram Orthopaedics, Velammal Medical College and Research Institute, Madurai, Tamil Nadu, India
  • Muthukumar . Orthopaedics, Velammal Medical College and Research Institute, Madurai, Tamil Nadu, India
  • Krishnakumar . Orthopaedics, Velammal Medical College and Research Institute, Madurai, Tamil Nadu, India

DOI:

https://doi.org/10.18203/issn.2455-4510.IntJResOrthop20221132

Keywords:

Total hip replacement, Amputee, THR in an amputee, Amputated limb

Abstract

Total hip replacement (THR) in an ipsilateral neck of femur fracture is an unusual situation. Hip fractures are a common source of morbidity and mortality worldwide. Nevertheless, the discovery and development of hip arthroplasty has improved its prognosis, with a high survival rate and satisfactory functional results. Although total hip replacement has been well described in the literature especially for healthy individuals, we found only few pieces of information about the technical characteristics and results of this procedure in patients with lower extremity amputation. There were few previous case reports in the literature that describe total hip replacement (THR) in above-knee amputees and this was the first case to be done in our institute. We presented a case involving an above knee amputee (AKA) who sustained an ipsilateral neck of femur fracture. Our patient underwent a THR with a satisfactory post-operative outcome. Technical considerations for AKAs undergoing THR also are reviewed in this article.

References

Macaulay W, Nellans KW, Garvin KL, Iorio R, Healy WL, Rosenwasser MP, et al. Prospective randomized clinical trial comparing hemiarthroplasty to total hip arthroplasty in the treatment of displaced femoral neck fractures: winner of the Dorr Award. J Arthroplasty. 2008;23:2-8.

Pekmezci M, Nunley RM, Barrack RL. Technique for total hip arthroplasty in a patient with through-knee amputation. J Arthroplasty. 2010;25(4):659.

Boussakri H, Alassaf I, Hamoudi S, Elibrahimi A. Hip arthroplasty in a patient with transfemoral amputation: a new tip. Case Rep Orthop. 2015;2015:593747.

Jenson M, Michael S, Steven F. Ipsilateral total hip arthroplasty in a dysvascular below-knee amputee for advanced hip osteoarthritis: a case report and review of the literature. Prosthet Orthot Int. 2008;32(2):155-9.

Amanatullah DF, Trousda RT, Sierra RE. Total hip arthroplasty after lower extremity amputation. Orthopedics. 2015;38(5):394-400.

Sommerville SMM, Patton JT, Luscombe JC, Grimer RJ. Contralateral total hip arthroplasty after hindquarter amputation. Sarcoma. 2006;2006:1-4.

Nejat EJ, Meyer A, Sánchez PM, Schaefer SH, Westrich GH. Total hip arthroplasty and rehabilitation in ambulatory lower extremity amputees-a case series. Iowa Orthop J. 2005;25:38-41.

Leonard M, Nicholson P. Total hip arthroplasty in a patient with arthrogryphosis and an ipsilateral above knee amputation. Hip Int. 2010;20(4):559-61.

Sathappan SS, Wee J, Ginat D, Teicher M, Meere P, Di Cesare PE. Total hip arthroplasty in above-knee amputees: A case report. Am J Orthop (Belle Mead NJ). 2011;40(2):17-9.

Diamond OJ, Mullan CJ, McAlinden MG, Brown JG. Total hip arthroplasty following an ipsilateral above knee amputation. Hip Int. 2013;23(1):104-7.

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Published

2022-04-25

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Section

Case Reports