BIOMAT Database Logo BIOMAT Database Logo

Operative Traction Technique for an Intertrochanteric Femur Fracture in a Patient with Transfemoral Amputation: A Case Report. 2023

Benjamin C Boothby, and Lucas R Haase, and Samuel D Stegelmann, and Joshua K Napora, and John K Sontich, and George Ochenjele, and Robert J Wetzel
University Hospitals, Cleveland, Ohio.

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. 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.

UI MeSH Term Description Entries
D008875 Middle Aged An adult aged 45 - 64 years. Middle Age
D005260 Female Females
D005269 Femur The longest and largest bone of the skeleton, it is situated between the hip and the knee. Trochanter,Greater Trochanter,Lesser Trochanter,Femurs,Greater Trochanters,Lesser Trochanters,Trochanter, Greater,Trochanter, Lesser,Trochanters,Trochanters, Greater,Trochanters, Lesser
D005593 Fracture Fixation, Internal The use of internal devices (metal plates, nails, rods, etc.) to hold the position of a fracture in proper alignment. Osteosynthesis, Fracture,Fixation, Internal Fracture,Fixations, Internal Fracture,Fracture Fixations, Internal,Fracture Osteosyntheses,Fracture Osteosynthesis,Internal Fracture Fixation,Internal Fracture Fixations,Osteosyntheses, Fracture
D006620 Hip Fractures Fractures of the FEMUR HEAD; the FEMUR NECK; (FEMORAL NECK FRACTURES); the trochanters; or the inter- or subtrochanteric region. Excludes fractures of the acetabulum and fractures of the femoral shaft below the subtrochanteric region (FEMORAL FRACTURES). Femoral Trochlear Fractures,Intertrochanteric Fractures,Subtrochanteric Fractures,Trochanteric Fractures,Trochlear Fractures, Femur,Femoral Trochlear Fracture,Femur Trochlear Fracture,Femur Trochlear Fractures,Fracture, Femoral Trochlear,Fracture, Femur Trochlear,Fractures, Femoral Trochlear,Fractures, Femur Trochlear,Fractures, Hip,Fractures, Intertrochanteric,Fractures, Subtrochanteric,Fractures, Trochanteric,Trochlear Fracture, Femoral,Trochlear Fracture, Femur,Trochlear Fractures, Femoral
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000671 Amputation, Surgical The surgical removal of part of, or all of, a limb or other appendage or outgrowth of the body. Amputation,Amputation, Multiple, Surgical,Multiple Amputation, Surgical,Surgical Amputation Procedures,Amputation Procedure, Surgical,Amputation Procedures, Surgical,Amputation, Surgical Multiple,Amputations,Amputations, Surgical,Amputations, Surgical Multiple,Multiple Amputations, Surgical,Procedure, Surgical Amputation,Procedures, Surgical Amputation,Surgical Amputation,Surgical Amputation Procedure,Surgical Amputations,Surgical Multiple Amputation,Surgical Multiple Amputations
D014143 Traction The pull on a limb or a part thereof. Skin traction (indirect traction) is applied by using a bandage to pull on the skin and fascia where light traction is required. Skeletal traction (direct traction), however, uses pins or wires inserted through bone and is attached to weights, pulleys, and ropes. (From Blauvelt & Nelson, A Manual of Orthopaedic Terminology, 5th ed) Tractions

Related Publications

Benjamin C Boothby, and Lucas R Haase, and Samuel D Stegelmann, and Joshua K Napora, and John K Sontich, and George Ochenjele, and Robert J Wetzel
Operative Positioning Technique for an Intertrochanteric Fracture in a Patient with an Ipsilateral Below-the-Knee Amputation: A Case Report.
January 2019, JBJS case connector,
Benjamin C Boothby, and Lucas R Haase, and Samuel D Stegelmann, and Joshua K Napora, and John K Sontich, and George Ochenjele, and Robert J Wetzel
Intertrochanteric Femur Fracture Fixation in a Patient with Below-Knee Amputation Presents a Surgical Dilemma: A Case Report.
December 2022, Journal of orthopaedic case reports,
Benjamin C Boothby, and Lucas R Haase, and Samuel D Stegelmann, and Joshua K Napora, and John K Sontich, and George Ochenjele, and Robert J Wetzel
An abduction-traction frame for the treatment of intertrochanteric fracture of femur.
January 1995, Journal of Tongji Medical University = Tong ji yi ke da xue xue bao,
Benjamin C Boothby, and Lucas R Haase, and Samuel D Stegelmann, and Joshua K Napora, and John K Sontich, and George Ochenjele, and Robert J Wetzel
Intertrochanteric Fracture of the Femur in an Ankylosed Hip: A Case Report.
December 2019, Revista brasileira de ortopedia,
Benjamin C Boothby, and Lucas R Haase, and Samuel D Stegelmann, and Joshua K Napora, and John K Sontich, and George Ochenjele, and Robert J Wetzel
Case report: associated both-column acetabulum fracture with an ipsilateral centrally dislocated intertrochanteric femur fracture.
March 2009, The Journal of trauma,
Benjamin C Boothby, and Lucas R Haase, and Samuel D Stegelmann, and Joshua K Napora, and John K Sontich, and George Ochenjele, and Robert J Wetzel
A Skeletal Traction Technique for Proximal Femur Fracture Management in an Austere Environment.
January 2016, Journal of special operations medicine : a peer reviewed journal for SOF medical professionals,
Benjamin C Boothby, and Lucas R Haase, and Samuel D Stegelmann, and Joshua K Napora, and John K Sontich, and George Ochenjele, and Robert J Wetzel
Evaluation and Management of an Unstable Intertrochanteric Fracture of the Femur: A case report.
June 2015, Journal of orthopaedic trauma,
Benjamin C Boothby, and Lucas R Haase, and Samuel D Stegelmann, and Joshua K Napora, and John K Sontich, and George Ochenjele, and Robert J Wetzel
Bilateral Intertrochanteric Femur Fractures in a Paraplegic Patient: A Case Report.
February 2024, Cureus,
Benjamin C Boothby, and Lucas R Haase, and Samuel D Stegelmann, and Joshua K Napora, and John K Sontich, and George Ochenjele, and Robert J Wetzel
Prosthetic Rehabilitation After Transfemoral Amputation in a Patient With an Ipsilateral Girdlestone Hip: A Case Report.
April 2024, Cureus,
Benjamin C Boothby, and Lucas R Haase, and Samuel D Stegelmann, and Joshua K Napora, and John K Sontich, and George Ochenjele, and Robert J Wetzel
Unstable AO/OTA type 31-A1.2 intertrochanteric femur fracture: An unusual case report.
August 2020, Trauma case reports,
Copied contents to your clipboard!