{"title":"Total Hip Arthroplasty, via Direct Anterior Approach, With Contralateral Proximal Femur Amputation.","authors":"Joseph Femia, Tom Gieroba","doi":"10.1016/j.artd.2024.101580","DOIUrl":null,"url":null,"abstract":"<p><p>Lower limb amputation has been well characterized in the literature to cause resultant osteoarthritis in the hip of the contralateral limb. This further amplifies the already significant physical disability and morbidity that come with lower limb amputation. The use of total hip arthroplasty (THA) in patients with lower limb amputations is rare, with available literature subsequently also limited. In this case report, we describe a 52-year-old female with a right proximal femur (subtrochanteric) amputation who underwent left THA due to osteoarthritis. To our knowledge, this is the first published report describing THA, via direct anterior approach, in a patient with contralateral proximal femur (subtrochanteric) amputation. We discuss the complex surgical considerations for this patient population, selection of approach, prosthesis, and postoperative outcomes.</p>","PeriodicalId":37940,"journal":{"name":"Arthroplasty Today","volume":"30 ","pages":"101580"},"PeriodicalIF":1.5000,"publicationDate":"2024-12-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11665467/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Arthroplasty Today","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1016/j.artd.2024.101580","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2024/12/1 0:00:00","PubModel":"eCollection","JCR":"Q3","JCRName":"ORTHOPEDICS","Score":null,"Total":0}
引用次数: 0
Abstract
Lower limb amputation has been well characterized in the literature to cause resultant osteoarthritis in the hip of the contralateral limb. This further amplifies the already significant physical disability and morbidity that come with lower limb amputation. The use of total hip arthroplasty (THA) in patients with lower limb amputations is rare, with available literature subsequently also limited. In this case report, we describe a 52-year-old female with a right proximal femur (subtrochanteric) amputation who underwent left THA due to osteoarthritis. To our knowledge, this is the first published report describing THA, via direct anterior approach, in a patient with contralateral proximal femur (subtrochanteric) amputation. We discuss the complex surgical considerations for this patient population, selection of approach, prosthesis, and postoperative outcomes.
期刊介绍:
Arthroplasty Today is a companion journal to the Journal of Arthroplasty. The journal Arthroplasty Today brings together the clinical and scientific foundations for joint replacement of the hip and knee in an open-access, online format. Arthroplasty Today solicits manuscripts of the highest quality from all areas of scientific endeavor that relate to joint replacement or the treatment of its complications, including those dealing with patient outcomes, economic and policy issues, prosthetic design, biomechanics, biomaterials, and biologic response to arthroplasty. The journal focuses on case reports. It is the purpose of Arthroplasty Today to present material to practicing orthopaedic surgeons that will keep them abreast of developments in the field, prove useful in the care of patients, and aid in understanding the scientific foundation of this subspecialty area of joint replacement. The international members of the Editorial Board provide a worldwide perspective for the journal''s area of interest. Their participation ensures that each issue of Arthroplasty Today provides the reader with timely, peer-reviewed articles of the highest quality.