Rheumatology: Current Research
Open Access

Successful management of femoral trauma in a through knee amputee with a previous mal-united fracture: Implications and functional outcome

5^th International Conference of Orthopedic Surgeons and Rheumatology

June 16-17, 2016 Alicante, Spain

Beth Lineham, P V Giannoudis and Paul Harwood1

Leeds General Infirmary, UK
University of Leeds & NIHR Leeds Biomedical Research Unit, UK

Posters & Accepted Abstracts: Rheumatology (Sunnyvale)

Abstract :

Background: After amputation, patients are more likely to injure their residual limb. An injury of a previously amputated limb, especially if the residuum is not anatomically normal, poses a dilemma for management. Case Description & Methods: This case report discusses a femoral fracture sustained proximal to a through knee amputation. Findings: The fracture was at the site of a mal-united fracture. A shortening osteotomy with bone graft was undertaken to improve alignment and prosthetic fit and remove poor quality bone. This was stabilised using an intramedullary nail, supplemented with an anti-rotation plate. Outcomes: This fracture went on to uneventful union and the patient was able to comfortably use a prosthesis with increased functionality compared with prior to the recent injury. Conclusion: In these unusual cases, careful planning is necessary to ensure all aspects of the problem is dealt with. Each case should be treated on its own merits.

Biography :

Email: bethbrown@doctors.org.uk