Primary Total Hip Replacement for a Femoral Neck Fracture in a Below-Knee Amputee
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Updated: Mar 8, 2026

Orthopedic Robot-Assisted Femoral Neck System in the Treatment of Femoral Neck Fracture
Published on: March 3, 2023
Karim Masmoudi1, Hédi Rbai1, Ayman Ben Fradj1
1Department of Orthopedics, Ibn Jazzar Kairouan Hospital, Les aghlabites Surgical Unit, Kairouan, Tunisia.
Introduction:
Femoral neck fracture on amputated limb is an uncommon lesion and challenging to manage.
Case Report:
We report a case of a displaced neck fracture of the left femur in a 57-year-old female. She underwent at the age of the three a below-knee amputation of the ipsilateral limb for post traumatic ischemia. The fracture was managed by a total hip arthroplasty (THA), as a primary procedure. In this article we describe our experience of this unusual entity.
Conclusion:
Total hip arthroplasty in patients with lower limb amputation is a challenging and uncommon intervention, especially when it's a primary procedure. It may provide satisfactory outcome, and allows early rehabilitation.
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