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Revista de la Asociación Argentina de Ortopedia y Traumatología
versão On-line ISSN 1852-7434
Resumo
WAGNER, Edgar G e QUIROGA, Reynaldo. Reemplazo total de cadera en un paciente con amputación supracondílea homolateral. Rev. Asoc. Argent. Ortop. Traumatol. [online]. 2020, vol.85, n.2, pp.151-156. ISSN 1852-7434.
Hip fractures in patients with ipsilateral limb amputations are uncommon injuries that pose a challenge for orthopedic surgeons. In this article, we present our experience in the treatment of a 63-year man with left transfemoral amputation, who suffered a left femoral neck fracture after a fall from standing height. Proper placement of the prosthesis is essential to achieve good postoperative clinical outcomes. A Steinmann pin was inserted into the greater trochanter to facilitate exposure and component placement. No clinical or radiological complications were detected in a 15-month follow-up. We believe that the correct placement of a Steinmann pin is a good alternative that provides adequate control over the extremity when performing an arthroplasty, thus reducing the risks for prosthesis displacement and shortening the surgical time.
Palavras-chave : Hip replacement; Ipsilateral transfemoral amputation; Total hip arthroplasty.