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Updated: Aug 16, 2026

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A Successful Method of Attaining Traction in Above-Knee Amputation Patients With Intertrochanteric Hip Fractures
David P Essex1, Sami Alaraj2, Vinod Panchbhavi2
1John Sealy School of Medicine, University of Texas Medical Branch, Galveston, USA.
Abstract:
Intertrochanteric fractures are a common occurrence in the general population; however, in patients with above-knee amputations, they are relatively rare. In this patient population, positioning on a fracture table presents a particularly difficult problem prior to the fixation of an intertrochanteric fracture. Here, we describe a 57-year-old man with extensive vasculopathy and reduced bone density who presents with an intertrochanteric fracture after a fall from standing. Adequate traction of the amputated leg was achieved via the modification of a standard fracture table and the utilization of a Bohler traction bow. Fixation of the intertrochanteric fracture was successful, and the patient suffered no postoperative complications.
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