FRACTURE: fracture intertrochanteric in an amputee
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post op xray proximal femur
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pre op xray proximal femur
45 year old vegetable vendor fell from his rehri and
complained of pain in left hip region. He had a below knee amputation on left
side 20 yrs back and was using orthosis for walking. X rays showed a comminuted
fracture inter trochanter femur left side. The patient was planned for dynamic
hip screw (DHS) fixation of this fracture. The main surgical issue in this case
was giving traction to the amputated limb to reduce the fracture intraop and allow
DHS plate to be put. Consent was taken from the patient and an intraop
Steinmann pin 4.5mm was put in the distal femur on left side. Traction cords
were tied to the pin and traction was given. The fracture was reduced and
confirmed under image intensifier. The surgery could be completed successfully.