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Operative Positioning Technique for an Intertrochanteric Fracture in a Patient with an Ipsilateral Below-the-Knee Amputation

A Case Report

Curley, Andrew J., MD1; Chang, Edward S., MD2

doi: 10.2106/JBJS.CC.18.00106
Case Reports

Case: A 56-year-old man with a remote history of a left below-the-knee amputation (BKA) presented to the emergency department with an ipsilateral intertrochanteric fracture (IT). This case produced an operative challenge because commonly used intraoperative traction methods could not be applied to a patient with a BKA.

Conclusion: We describe a rarely utilized surgical technique of applying traction to an amputated extremity through an inverted boot on a fracture table during open reduction and internal fixation of an IT.

1Department of Orthopaedics, Georgetown University Hospital, Washington, DC

2Department of Orthopedics, Inova Fairfax Hospital, Falls Church, Virginia

E-mail address for A.J. Curley:

Investigation performed at Inova Fairfax Hospital, Falls Church, Virginia

Disclosure: The authors indicated that no external funding was received for any aspect of this work. The Disclosure of Potential Conflicts of Interest forms are provided with the online version of the article (

Copyright © 2019 by The Journal of Bone and Joint Surgery, Incorporated
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