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Minimally Invasive Total Hip Replacement in an Ipsilateral Post-traumatic above-knee Amputation: A Case Report
Sanjeev Patnaik1, Biswaranjan Nayak1, Akshaya Kumar Sahoo1
1Department of Orthopaedics, Apollo Hospital, Bhubaneswar, Odisha, India.
Journal of Orthopaedic Case Reports
|August 19, 2017
Summary
Total hip replacement (THR) in above-knee amputees with post-traumatic hip arthritis offers functional recovery. Minimally invasive surgery (MIS) shows promise in managing these complex cases.
Area of Science:
- Orthopedic Surgery
- Trauma Surgery
Background:
- Total hip replacement (THR) is effective for end-stage hip arthritis.
- THR in post-traumatic hip arthritis with ipsilateral above-knee amputation is rarely documented.
Observation:
- A 30-year-old male with a prior above-knee amputation sustained a femur fracture and popliteal artery injury.
- He developed traumatic hip arthritis requiring conversion to THR via a minimally invasive anterolateral approach.
Findings:
- Minimally invasive surgery (MIS) THR in an above-knee amputee with post-traumatic hip arthritis is feasible.
- This approach facilitates early functional recovery and reduces surgical complications.
Implications:
- Highlights technical challenges in managing hip arthritis in lower limb amputees.
- Suggests MIS THR as a viable option for improving outcomes in this rare patient group.

