JBJS | Traumatic Transfemoral Amputation with Concomitant Ipsilateral Proximal Femoral Fracture: A Report of Two Cases

The Journal of Bone & Joint Surgery, Volume 89, Issue 12

Case Reports | December 01, 2007

Traumatic Transfemoral Amputation with Concomitant Ipsilateral Proximal Femoral Fracture: A Report of Two Cases

Second Lieutenant C. Jesse Pickard-Gabriel, BA¹; Major Cheryl L. Ledford, MD²; Lieutenant Colonel Donald A. Gajewski, MD²; Colonel Robert R. Granville, MD²; Lieutenant Colonel Romney C. Andersen, MD²

¹ Medical Service Corps, United States Air Force Reserve, 6608 14th Street N.W. #201, Washington, DC 20012. E-mail address: S8CPickardGabriel@USUHS.mil
² United States Army Medical Corps, Orthopaedic Surgery Service, Walter Reed National Military Medical Center, 8901 Wisconsin Avenue, Bethesda, MD 20889

The Journal of Bone & Joint Surgery. 2007; 89:2764-2768 doi:10.2106/JBJS.G.00229

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In contrast to civilian amputations, military amputations today are almost entirely due to trauma^1-6. The current conflicts in Afghanistan and Iraq have resulted in more than 700 major limb amputations⁷. We present the cases of two patients who sustained traumatic transfemoral amputations with concomitant ipsilateral femoral fractures. The injuries in these two patients represent particularly complex injuries that are rarely, if ever, seen in the civilian trauma setting. These patients represent a different segment of the population than do traditional civilian amputees because of their young age, excellent physical conditioning prior to injury, high capacity for healing, and long life expectancy following amputation^8-11.

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Topics

amputation above-knee ; femur fractures, proximal end ; amputation ; intramedullary rods ; femoral fractures ; fracture

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These activities have been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint sponsorship of the American Academy of Orthopaedic Surgeons and The Journal of Bone and Joint Surgery, Inc. The American Academy of Orthopaedic Surgeons is accredited by the ACCME to provide continuing medical education for physicians.

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