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Updated: Nov 21, 2025
The Transition to an Anterior-Based Muscle Sparing Approach Improves Early Postoperative Function but is Associated with a Learning Curve
Published on: September 7, 2022
Surgical Technique for Anterior Approach for Total Hip Arthroplasty After Bilateral Below-Knee Amputation: A Case
Mustafa Mahmood1, Linsen T Samuel2, Atul F Kamath2
1Southern Illinois University School of Medicine, Springfield, Illinois.
Case:
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.
Conclusions:
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.
