Related Experiment Video
Updated: May 24, 2026
The Use of Mixed Reality in Custom-Made Revision Hip Arthroplasty: A First Case Report
Published on: August 4, 2022
Total Hip Arthroplasty Using Temporary External Fixation for Limb Control in Short Transfemoral Amputation: A Case
Musashi Ima1,2, Tamon Kabata2, Hidenori Matsubara2
1Department of Orthopaedic Surgery, Medical Corporation Hakuyukai, Kanazawa Nishi Hospital, Kanazawa, Ishikawa, Japan.
Case:
A 61-year-old man with a short residual limb after traumatic transfemoral amputation developed progressive ipsilateral hip osteoarthritis with severe pain during prosthetic gait. Intraoperative limb control was challenging because of the absence of a distal lever arm. A temporary circular external fixation system was applied to the proximal femur before preparation, enabling traction and rotation. Total hip arthroplasty was completed successfully. At 1 year postoperatively, the patient demonstrated substantial pain relief and improved prosthetic gait without instability or implant-related complications.
Conclusion:
Temporary external fixation provides reproducible intraoperative limb control during total hip arthroplasty in patients with short residual limbs.
