Periprosthetic Femur Fractures in Osseointegration Amputees: A Report of 2 Cases Using a Modified Traction Technique

Two patients with periprosthetic femur fracture proximal to a femoral osseointegration had surgical stabilization. These cases produced operative challenges because commonly used intraoperative traction methods cannot be used for patients with transfemoral osseointegration.

We describe a novel technique to apply traction and rotation to the osseointegrated extremity: using the implant's antirotation propeller handle. This allows for an otherwise familiar technique to be used for fracture fixation: open reduction with internal fixation using a proximal femur hook plate and eccentric peri-implant screws.