CASE REPORT article
Front. Surg.
Sec. Orthopedic Surgery
This article is part of the Research TopicAdvancing Orthopedic Surgery: unique Case Reports driving progressView all 10 articles
Primary Total Hip Arthroplasty for a Femoral Neck Fracture in a homolateral above-Knee Amputee: a case report
Provisionally accepted
- 1The 980th Hospital of the People's Liberation Army Joint Logistics Support Force, Shijiazhuang, China
- 2The Third Affiliated Hospital of Naval Medical University, Shanghai, China
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Abstract Introduction: Femoral neck fracture in a homolateral amputated extremity is not common and challenging for the surgeon to manage. In this article we share our experience of this unusual entity. Methods: We present a case of a displaced femoral neck fracture of the right femur in a 69-year-old female, who underwent at the age of 29 an above-knee amputation of the homolateral limb. The fracture was managed by a primary total hip arthroplasty (THA). The post-operative course was uneventful. There was no infection, deep vein thrombosis, dislocation, or any other complication. Results: Over one-year follow-up demonstrated that the patient while wearing the prosthetic limb received satisfactory and functional use of normal activities. The patient achieved a good functional outcome with a Harris Hip Score at 86/100. To date, the patient has returned to normal activities without symptoms. Conclusion: Treating femoral neck fractures in homolateral above-Knee amputees is challenging. Surgical technical tips and rehabilitation exercises are necessary and crucial. Total hip arthroplasty can provide satisfactory functional outcome and return to pre-fracture daily life activities.
Keywords: above-knee amputations, Femoral neck, Hip fracture, Total hip arthroplasty, Total hip replacement
Received: 26 Oct 2025; Accepted: 08 Dec 2025.
Copyright: © 2025 Xu, Yin, Shi, Li, Qiao and Bu. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
* Correspondence:
Suchi Qiao
Jianli Bu
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