{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,7]],"date-time":"2026-10-07T16:25:44Z","timestamp":1791390344955,"version":"4.3.3"},"reference-count":11,"publisher":"BMJ","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Reports"],"accepted":{"date-parts":[[2014,2,3]]},"abstract":"<jats:p>While neck of femur fractures are common it is rare to see this injury in a bilateral leg amputee. Special consideration needs to be given to the management of these patients. We report the case of a 58-year-old man with bilateral leg amputation who presented to the emergency department with left hip pain following a fall. A fracture of the left neck of femur with extension into the femoral shaft was diagnosed. Internal fixation was planned with a dynamic hip screw. Standard fracture table setup, which allows for traction of the fractured limb and positioning of the contralateral limb such that anteroposterior and lateral X-rays can be obtained, was not possible in this case due to the amputations. We highlight considerations that need to be made in positioning a bilateral amputee for neck of femur fracture fixation and also highlight an improvised technique that can be utilised by other surgeons.<\/jats:p>","DOI":"10.1136\/bcr-2013-203504","type":"journal-article","created":{"date-parts":[[2014,2,21]],"date-time":"2014-02-21T10:27:56Z","timestamp":1392978476000},"page":"bcr2013203504","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":15,"title":["Neck of femur fracture fixation in a bilateral amputee: an uncommon condition requiring an improvised fracture table positioning technique"],"prefix":"10.1136","volume":"2014","author":[{"given":"Andrew James","family":"Berg","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chandra","family":"Bhatia","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2014,2,21]]},"reference":[{"key":"2025042702422118000_2014.feb21_1.bcr2013203504.1","doi-asserted-by":"crossref","first-page":"1273","DOI":"10.1007\/s00264-009-0866-2","article-title":"Risk factors in cutout of sliding hip screw in intertrochanteric fractures: an evaluation of 937 patients","volume":"34","author":"Hsueh","year":"2009","journal-title":"Int Orthop (SICO)"},{"key":"2025042702422118000_2014.feb21_1.bcr2013203504.2","doi-asserted-by":"publisher","DOI":"10.1016\/j.injury.2003.10.028"},{"key":"2025042702422118000_2014.feb21_1.bcr2013203504.3","doi-asserted-by":"publisher","DOI":"10.1007\/s002640100287"},{"key":"2025042702422118000_2014.feb21_1.bcr2013203504.4","doi-asserted-by":"publisher","DOI":"10.1016\/j.otsr.2009.10.008"},{"key":"2025042702422118000_2014.feb21_1.bcr2013203504.5","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.K.00357"},{"key":"2025042702422118000_2014.feb21_1.bcr2013203504.6","doi-asserted-by":"crossref","unstructured":"Baumgaertner MR Curtin SL Lindskog DM . The value of the tip-apex distance in predicting failure of fixation of peritrochanteric fractures of the hip. J Bone Joint Surg Am 77:1058\u201364.","DOI":"10.2106\/00004623-199507000-00012"},{"key":"2025042702422118000_2014.feb21_1.bcr2013203504.7","first-page":"276","article-title":"Femoral fractures in patients with lower extremity amputations","volume":"61","author":"Gonzalez","year":"1980","journal-title":"Arch Phys Med Rehabil"},{"issue":"(Suppl IV)","key":"2025042702422118000_2014.feb21_1.bcr2013203504.8","first-page":"548","article-title":"Fracture of the neck of femur in lower limb amputees","volume":"92-B","author":"Haleem","year":"2010","journal-title":"J Bone Joint Surg Br Vol"},{"key":"2025042702422118000_2014.feb21_1.bcr2013203504.9","doi-asserted-by":"publisher","DOI":"10.1186\/1752-1947-2-296"},{"key":"2025042702422118000_2014.feb21_1.bcr2013203504.10","doi-asserted-by":"publisher","DOI":"10.1016\/S0020-1383(97)00118-6"},{"key":"2025042702422118000_2014.feb21_1.bcr2013203504.11","doi-asserted-by":"publisher","DOI":"10.1186\/1752-1947-4-390"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2013-203504","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,4,27]],"date-time":"2025-04-27T09:42:31Z","timestamp":1745746951000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2013-203504"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2014,2,21]]},"references-count":11,"alternative-id":["10.1136\/bcr-2013-203504"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2013-203504","relation":{},"ISSN":["1757-790X"],"issn-type":[{"value":"1757-790X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2014,2,21]]}}}