BACKGROUND: After amputation @entity1 are more likely to injure their residual limb. An injury of a previously amputated limb, especially if the residuum is not anatomically normal, poses a dilemma for management. Case Description and Methods: This case report discusses a femoral @entity174 sustained proximal to a through-knee amputation. Findings and outcomes: The @entity174 was at the site of a @entity1517 . A shortening osteotomy with bone graft was undertaken to improve alignment and prosthetic fit and remove poor-quality bone. This was stabilised using an intramedullary nail, supplemented with an anti-rotation plate. This @entity174 went on to uneventful union, and the @entity1 was able to comfortably use a prosthesis with increased functionality compared with prior to the @entity130 . DISCUSSION: This management enabled quick healing of the @entity174 without the need to resort to a more proximal amputation. CONCLUSION: In these unusual cases, careful planning is necessary to ensure all aspects of the problem is dealt with. Each case should be treated on its own merits. Clinical relevance This case demonstrates the difficulty in care of complex limb @entity130 and offers a solution for management of similar cases. Excellent results are possible when all surgical options are considered.

Successful management of femoral XXXX in a through-knee amputee with a previous @entity1517 : Implications and functional outcome.

@entity1 :: ('9606', 'Species') :: ['patients', 'patient'] @entity1517 :: ('MESH:D017759', 'Disease') :: ['malunited fracture'] @entity174 :: ('MESH:D050723', 'Disease') :: ['fracture'] @entity130 :: ('MESH:D014947', 'Disease') :: ['trauma', 'recent injury']
@entity130 :: (MESH:D014947,Disease) :: ['trauma']
