Essex David P, Alaraj Sami, Panchbhavi Vinod
John Sealy School of Medicine, University of Texas Medical Branch, Galveston, USA.
Department of Orthopedic Surgery and Rehabilitation, University of Texas Medical Branch, Galveston, USA.
Cureus. 2024 Jul 9;16(7):e64157. doi: 10.7759/cureus.64157. eCollection 2024 Jul.
Intertrochanteric fractures are a common occurrence in the general population; however, in patients with above-knee amputations, they are relatively rare. In this patient population, positioning on a fracture table presents a particularly difficult problem prior to the fixation of an intertrochanteric fracture. Here, we describe a 57-year-old man with extensive vasculopathy and reduced bone density who presents with an intertrochanteric fracture after a fall from standing. Adequate traction of the amputated leg was achieved via the modification of a standard fracture table and the utilization of a Bohler traction bow. Fixation of the intertrochanteric fracture was successful, and the patient suffered no postoperative complications.
粗隆间骨折在普通人群中很常见；然而，在膝上截肢患者中，它们相对罕见。在这个患者群体中，在固定粗隆间骨折之前，在骨折台上进行体位摆放是一个特别困难的问题。在此，我们描述一名57岁男性，患有广泛血管病变且骨密度降低，在从站立位跌倒后出现粗隆间骨折。通过改良标准骨折台并使用博勒牵引弓，对截肢腿进行了充分牵引。粗隆间骨折固定成功，患者术后未出现并发症。
