# A Successful Method of Attaining Traction in Above-Knee Amputation Patients With Intertrochanteric Hip Fractures

## TL;DR

A 57-year-old man with an above-knee amputation and an intertrochanteric hip fracture was successfully treated using a modified fracture table and traction bow.

## Contribution

A novel method for achieving traction in above-knee amputation patients with hip fractures using a modified fracture table and Bohler traction bow.

## Key findings

- A modified fracture table allowed for adequate traction of the amputated leg.
- The intertrochanteric fracture was successfully fixed without postoperative complications.
- The method is effective for patients with reduced bone density and vasculopathy.

## Abstract

Intertrochanteric fractures are a common occurrence in the general population; however, in patients with above-knee amputations, they are relatively rare. In this patient population, positioning on a fracture table presents a particularly difficult problem prior to the fixation of an intertrochanteric fracture. Here, we describe a 57-year-old man with extensive vasculopathy and reduced bone density who presents with an intertrochanteric fracture after a fall from standing. Adequate traction of the amputated leg was achieved via the modification of a standard fracture table and the utilization of a Bohler traction bow. Fixation of the intertrochanteric fracture was successful, and the patient suffered no postoperative complications.