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Open Access Highly Accessed Case report

A simple technique to position patients with bilateral above-knee amputations for operative fixation of intertrochanteric fractures of the femur: a case report

Adeel Aqil1, Aravind Desai2, Asterios Dramis3* and Saqif Hossain2

Author Affiliations

1 Department of Orthopaedics, West Wales General Hospital, Carmarthen, UK

2 Department of Orthopaedics, Rochdale Infirmary, Rochdale, UK

3 Oxford Trauma Unit, John Radcliffe Hospital, Oxford, UK

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Journal of Medical Case Reports 2010, 4:390  doi:10.1186/1752-1947-4-390

Published: 30 November 2010

Abstract

Introduction

Intertrochanteric fractures of the femur are common fractures in the elderly, and management includes operative fixation after patient positioning on the fracture table. Patients with bilateral above-knee amputations are challenging in terms of positioning on the table. We describe a simple technique to overcome this special problem.

Case presentation

A 75-year-old wheelchair-bound Caucasian man with bilateral above-knee amputations presented to our hospital after a fall. Plain radiographs showed an intertrochanteric fracture of the femur, and operative fixation with a dynamic hip screw was planned. His positioning on the table posed a particular problem, and therefore we developed a technique to overcome this problem.

Conclusion

Positioning of patients for fixation of intertrochanteric fractures of the femur poses a particular problem that can be solved by using our simple technique.