Case ReportsOperative Traction Technique for an Intertrochanteric Femur Fracture in a Patient with Transfemoral Amputation A Case ReportBoothby, Benjamin C. DO1; Haase, Lucas R. MD1; Stegelmann, Samuel D. MD2,*; Napora, Joshua K. MD1; Sontich, John K. MD1; Ochenjele, George MD1; Wetzel, Robert J. MD1 Author Information 1University Hospitals, Cleveland, Ohio 2Mercy Health St Vincent Medical Center, Toledo, Ohio *E-mail address for S. Stegelmann: [email protected] Investigation performed at Department of Orthopaedic Surgery, University Hospitals Cleveland Medical Center, Cleveland, Ohio Disclosure: The Disclosure of Potential Conflicts of Interest forms are provided with the online version of the article (https://links.lww.com/JBJSCC/C48). JBJS Case Connector 13(1):e22.00760, January-March 2023. | DOI: 10.2106/JBJS.CC.22.00760 Buy Metrics Abstract Case: A 53-year-old woman with a history of transfemoral amputation presented to the emergency department with an ipsilateral intertrochanteric femur fracture. Standard fracture tables that use a boot to pull traction are not helpful in these cases, which makes achieving adequate traction for reduction difficult. Conclusion: We describe a unique technique to manipulate an amputated extremity using 2 Schanz pins attached to a weight through a traction rope. This practical technique provided adequate skeletal traction for reduction and internal fixation in our case and can be performed on a standard radiolucent table without the need for special table attachments. Copyright © 2023 by The Journal of Bone and Joint Surgery, Incorporated
