Challenges Faced in the Surgical Fixation of a 4 Part Inter-Trochanteric Fracture in a Patient with Ipsilateral Below Knee Amputation and Uncontrolled Diabetes Mellitus

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Journal of Clinical Orthopaedics | Vol 8 | Issue 2 |  Jul-Dec 2023 | page: 88-90 | Ameya Haritosh Velankar, Sanjeev Singh, Ashok Ghodke, Deepak Jain, Aditya More, Kriteya Singh

DOI: https://doi.org/10.13107/jcorth.2023.v08i02.614

Authors: Ameya Haritosh Velankar [1] Sanjeev Singh [1], Ashok Ghodke [1], Deepak Jain [1], Aditya More [1], Kriteya Singh [1]

[1] Department of Orthopaedics, MGM Institute of Health Sciences, Kamothe, Navi-Mumbai- 410209, Maharashtra, India.

Address of Correspondence
Dr. Deepak Jain,
Department of Orthopaedics, MGM Institute of Health Sciences, Kamothe, Navi-Mumbai- 410209, Maharashtra, India.
Email: deepaksjain1993@gmail.com

Abstract

Operative treatment of hip fractures in a patient with below-knee amputation on the same extremity poses a great challenge in terms of obtaining an optimal amount of traction for fracture reduction. The absence of the foot and the distal lower limb which makes the positioning difficult and other medical co-morbidities contribute to the same. We present a case report of a 66-year-old man with ipsilateral below-knee amputation who underwent surgical fixation of a comminuted 4-part right intertrochanteric femur fracture. We discuss the pros and cons of various methods and highlight a simple and effective technique of reverse boot traction for fracture reduction.

Keywords: Inter trochanteric fracture, 4-part fracture, amputation, diabetes mellitus, reverse boot.

References

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How to Cite this article: Velankar AH, Singh S, Jain D, Ghodke A, More A, Singh K. Challenges Faced in
the Surgical Fixation of a 4 Part Inter-Trochanteric Femur Fracture in a Patient with Ipsilateral Below Knee Amputation and Uncontrolled Diabetes Mellitus. Journal of Clinical Orthopaedics 2023;8(2):88-90.

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