Repeated Periprosthethic Femoral Fracture in a Below Knee Amputee with Ipsilateral Cementless Total Hip Arthroplasty

Patients with lower-limb amputations can have various musculoskeletal problems, such as osteoporosis in the amputated limb, and osteoarthritis in either ipsilateral or contralateral limb. Total hip arthroplasty (THA) in below-knee amputees (BKA) have been described previously. In lower limb amputee patients undergoing THA, there may be important preand intraoperative considerations and patients may present a challenging acute postoperative rehabilitation course relative to non-amputee patients. The incidence of periprosthetic femual fractures has increased and is still on the rise with growing numbers of THAs. Even in non amputee patients, the treatment of these fractures is complex and challenging and requires the skills of both trauma surgery and revisional arthroplasty. Surgical options in displaced periprosthetic femoral fractures include open reduction and internal fixation, an arthroplasty revision procedure, or a combination of two. In this report, a case of a refracture after treatment of periprosthethic femoral fracture in a patient with BKA who underwent cementless THA for femur neck fracture is presented. Not only there are limited literature about the outcomes and role of THA in lower limb amputee Repeated Periprosthethic Femoral Fracture in a Below Knee Amputee with Ipsilateral Cementless Total Hip Arthroplasty A Case Report -