{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,8]],"date-time":"2026-01-08T19:01:38Z","timestamp":1767898898777,"version":"3.49.0"},"reference-count":10,"publisher":"BMJ","issue":"8","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2023,8,10]]},"published-print":{"date-parts":[[2023,8]]},"abstract":"<jats:p>Total hip arthroplasty (THA) in patients with ipsilateral mid-thigh amputation is surgically challenging. We report a case of same setting THA and ipsilateral above-knee amputation in a male patient. The patient had 8\u2009months old neglected neck femur fracture and ipsilateral femur shaft fracture with 14 cm bone loss. There was an associated neurovascular (femoral artery injury and sciatic nerve palsy) deficit at the initial insult; however, the limb survived because of well-formed collaterals. The limb was insensate at the time of presentation because of complete sciatic nerve palsy. The decision to undergo amputation was taken based on insensate limb, compromised circulation and huge bone loss with healed open fracture. After 10 months follow-up, the patient was walking with prosthesis limb fitted to the amputated mid-thigh stump and there were no incidences of osteolysis, subsidence or infection in the THA site.<\/jats:p>","DOI":"10.1136\/bcr-2023-255085","type":"journal-article","created":{"date-parts":[[2023,8,22]],"date-time":"2023-08-22T12:25:30Z","timestamp":1692707130000},"page":"e255085","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":3,"title":["Simultaneous above-knee amputation and ipsilateral total hip arthroplasty in a neglected neck of femur fracture with an insensate limb"],"prefix":"10.1136","volume":"16","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0179-9910","authenticated-orcid":false,"given":"Sujit","family":"Tripathy","sequence":"first","affiliation":[{"name":"Department of Orthopedics, AIIMS Bhubaneswar, Bhubaneswar, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Paulson","family":"Varghese","sequence":"additional","affiliation":[{"name":"Department of Orthopedics, AIIMS Bhubaneswar, Bhubaneswar, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shahnawaz","family":"Khan","sequence":"additional","affiliation":[{"name":"Department of Orthopedics, AIIMS Bhubaneswar, Bhubaneswar, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Subhajit","family":"Saha","sequence":"additional","affiliation":[{"name":"Department of Orthopedics, AIIMS Bhubaneswar, Bhubaneswar, India"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2023,8,22]]},"reference":[{"key":"2025082708162962000_16.8.e255085.1","doi-asserted-by":"publisher","DOI":"10.1136\/ard.2005.047811"},{"key":"2025082708162962000_16.8.e255085.2","first-page":"730","article-title":"Total hip replacement for osteoarthritis-evidence-based and patient-oriented indications","volume":"118","author":"G\u00fcnther","year":"2021","journal-title":"Dtsch Arztebl Int"},{"key":"2025082708162962000_16.8.e255085.3","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(18)31665-9"},{"key":"2025082708162962000_16.8.e255085.4","first-page":"100","article-title":"Six cases of arthroplasty of the hip in amputees","volume":"46","author":"GILLIS","year":"1953","journal-title":"Proc R Soc Med"},{"key":"2025082708162962000_16.8.e255085.5","first-page":"3","article-title":"Minimally invasive total hip replacement in an ipsilateral post-traumatic above-knee amputation: a case report","volume":"7","author":"Patnaik","year":"2017","journal-title":"J Orthop Case Rep"},{"key":"2025082708162962000_16.8.e255085.6","doi-asserted-by":"crossref","first-page":"e394","DOI":"10.3928\/01477447-20150504-56","article-title":"Total hip arthroplasty after lower extremity amputation","volume":"38","author":"Amanatullah","year":"2015","journal-title":"Orthopedics"},{"key":"2025082708162962000_16.8.e255085.7","doi-asserted-by":"publisher","DOI":"10.1177\/0309364613497391"},{"key":"2025082708162962000_16.8.e255085.8","article-title":"Hip arthroplasty in a patient with transfemoral amputation: a new tip","volume":"2015","author":"Boussakri","year":"2015","journal-title":"Case Rep Orthop"},{"key":"2025082708162962000_16.8.e255085.9","doi-asserted-by":"crossref","first-page":"925","DOI":"10.1093\/ptj\/56.8.925","article-title":"Total joint replacement in extremities with below-knee amputations","volume":"56","author":"Prickett","year":"1976","journal-title":"Phys Ther"},{"key":"2025082708162962000_16.8.e255085.10","doi-asserted-by":"crossref","first-page":"559","DOI":"10.1177\/112070001002000424","article-title":"Total hip arthroplasty in a patient with arthrogryphosis and an ipsilateral above knee amputation","volume":"20","author":"Leonard","year":"2010","journal-title":"Hip Int"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2023-255085","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T15:16:39Z","timestamp":1756307799000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2023-255085"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,8]]},"references-count":10,"journal-issue":{"issue":"8","published-online":{"date-parts":[[2023,8,22]]},"published-print":{"date-parts":[[2023,8]]}},"alternative-id":["10.1136\/bcr-2023-255085"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2023-255085","relation":{},"ISSN":["1757-790X"],"issn-type":[{"value":"1757-790X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,8]]}}}