Primary total hip arthroplasty for a femoral neck fracture in a homolateral above-knee amputee: a case report

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ID: 310159
2026
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Abstract
IntroductionFemoral neck fracture in a homolateral amputated extremity is not common and challenging for the surgeon to manage. In this article we share our experience of this unusual entity.MethodsWe present a case of a displaced femoral neck fracture of the right femur in a 69-year-old female, who underwent at the age of 29 an above-knee amputation of the homolateral limb. The fracture was managed by a primary total hip arthroplasty (THA). The post-operative course was uneventful. There was no infection, deep vein thrombosis, dislocation, or any other complication.ResultsOver one-year follow-up demonstrated that the patient while wearing the prosthetic limb received satisfactory and functional use of normal activities. The patient achieved a good functional outcome with a Harris Hip Score at 86/100. To date, the patient has returned to normal activities without symptoms.ConclusionTreating femoral neck fractures in homolateral above-Knee amputees is challenging. Surgical technical tips and rehabilitation exercises are necessary and crucial. Total hip arthroplasty can provide satisfactory functional outcome and return to pre-fracture daily life activities.
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Authors Bu, Jianli
Journal Frontiers in surgery
Year 2026
DOI
10.3389/fsurg.2025.1732504
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