Southern Illinois University School of Medicine, Springfield, Illinois.
Department of Orthopaedic Surgery, Cleveland Clinic Foundation, Cleveland, Ohio.
JBJS Case Connect. 2020 Dec 24;10(4):e20.00438. doi: 10.2106/JBJS.CC.20.00438.
We report a case of a 77-year-old man, with bilateral below-knee amputee, in whom the anterior approach (AA) for a left total hip arthroplasty was used successfully, with 3-year follow-up. This report also summarizes the key studies in the literature on this subject.
The utility of AA surgery performed in the setting of bilateral below-knee amputation has not been previously described. We describe the surgical technique, including considerations and pearls in the amputee population, and particular technical tips related to the use of a fracture table and thin-wire femoral traction for optimum control of the residual limb.
我们报告了一例 77 岁男性患者，双侧膝下截肢，成功采用前路（AA）进行左侧全髋关节置换术，随访 3 年。本报告还总结了该主题的文献中的关键研究。
在双侧膝下截肢的情况下进行 AA 手术的实用性尚未被描述。我们描述了手术技术，包括在截肢人群中的注意事项和技巧，以及与使用骨折桌和细钢丝股骨牵引有关的特殊技术提示，以实现对残肢的最佳控制。
