Femia Joseph, Gieroba Tom
Department of Orthopaedic Surgery, The Queen Elizabeth Hospital, Woodville South, South Australia, Australia.
Sportsmed, Stepney, South Australia, Australia.
Arthroplast Today. 2024 Dec 8;30:101580. doi: 10.1016/j.artd.2024.101580. eCollection 2024 Dec.
Lower limb amputation has been well characterized in the literature to cause resultant osteoarthritis in the hip of the contralateral limb. This further amplifies the already significant physical disability and morbidity that come with lower limb amputation. The use of total hip arthroplasty (THA) in patients with lower limb amputations is rare, with available literature subsequently also limited. In this case report, we describe a 52-year-old female with a right proximal femur (subtrochanteric) amputation who underwent left THA due to osteoarthritis. To our knowledge, this is the first published report describing THA, via direct anterior approach, in a patient with contralateral proximal femur (subtrochanteric) amputation. We discuss the complex surgical considerations for this patient population, selection of approach, prosthesis, and postoperative outcomes.
下肢截肢在文献中已有充分描述，会导致对侧肢体髋关节发生继发性骨关节炎。这进一步加剧了下肢截肢所带来的已然严重的身体残疾和发病率。在下肢截肢患者中使用全髋关节置换术（THA）的情况很少见，现有文献也很有限。在本病例报告中，我们描述了一名52岁女性，她因右股骨近端（转子下）截肢，因骨关节炎接受了左全髋关节置换术。据我们所知，这是第一份发表的报告，描述了通过直接前路对侧股骨近端（转子下）截肢患者进行全髋关节置换术。我们讨论了针对该患者群体的复杂手术考量、手术入路的选择、假体以及术后结果。
