{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,7]],"date-time":"2026-10-07T10:53:32Z","timestamp":1791370412312,"version":"4.3.1"},"reference-count":0,"publisher":"Indian Orthopaedic Research Group","issue":"10","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Jocr"],"published-print":{"date-parts":[[2026]]},"abstract":"<jats:p>Introduction:\nFemoral neck fractures in patients with ipsilateral above-knee amputations are uncommon and present unique diagnostic, biomechanical, and surgical challenges. The absence of a distal limb limits fracture reduction, intraoperative manipulation, and implant positioning, making standard treatment techniques difficult to perform. Although several fixation and arthroplasty strategies have been described for lower-extremity amputees, reports detailing primary total hip arthroplasty (THA) for displaced femoral neck fractures in young above-knee amputees remain scarce. This case highlights a practical surgical technique utilizing a temporary Steinmann pin as a lever arm to facilitate femoral control during arthroplasty and contributes to the limited orthopedic literature on management of these complex injuries.\n\nCase Report:\nA 47-year-old Caucasian male with a history of traumatic left above-knee amputation sustained a displaced femoral neck fracture following a ground-level fall. Clinical evaluation and imaging demonstrated a displaced intracapsular femoral neck fracture with significant posterior tilt. Additional risk factors for fixation failure included tobacco use and poor bone quality. Given the patient\u2019s age, functional demands, and elevated risk of nonunion and osteonecrosis with internal fixation, primary THA was selected. During surgery, a fully threaded Steinmann pin was inserted into the residual femoral stump and used as a temporary lever arm to facilitate limb manipulation, femoral preparation, implant positioning, and stability assessment. The procedure was completed without complications, and the patient demonstrated satisfactory post-operative recovery with restoration of mobility and pain relief.\n\nConclusion:\nThis case demonstrates that primary THA may be a viable treatment option for select young above-knee amputees with displaced femoral neck fractures when multiple risk factors for fixation failure are present. The use of a temporary Steinmann pin provides a simple, reproducible, and minimally invasive method for intraoperative control of the residual limb. This technique may assist orthopedic surgeons managing complex hip fractures in amputee patients and expands the limited body of literature regarding arthroplasty strategies in this challenging population.\n\nKeywords:\nFemoral neck fracture , above-knee amputation , total hip arthroplasty , Steinmann pin , hip fracture<\/jats:p>","DOI":"10.13107\/jocr.2026.v16.i10.8216","type":"journal-article","created":{"date-parts":[[2026,10,7]],"date-time":"2026-10-07T10:21:31Z","timestamp":1791368491000},"page":"142-146","source":"Crossref","is-referenced-by-count":0,"title":["Primary Total Hip Arthroplasty for a Displaced Femoral Neck Fracture in an Above-the-Knee Amputee: A Case Report"],"prefix":"10.13107","volume":"16","author":[{"given":"Nathaniel J","family":"Starcher","sequence":"first","affiliation":[{"name":"Department of Orthopedic Surgery, OhioHealth Doctors Hospital, Columbus, Ohio, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jignesh","family":"Patel","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, OhioHealth Doctors Hospital, Columbus, Ohio, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrew R","family":"Golden","sequence":"additional","affiliation":[{"name":"Department of Chemistry, Case Western Reserve, Cleveland, Ohio, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cameron A.","family":"Kirk","sequence":"additional","affiliation":[{"name":"The University of Toledo College of Medicine and Life Sciences, Toledo, Ohio, United States"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"5271","published-online":{"date-parts":[[2026]]},"container-title":["Journal of Orthopaedic Case Reports"],"original-title":[],"deposited":{"date-parts":[[2026,10,7]],"date-time":"2026-10-07T10:21:33Z","timestamp":1791368493000},"score":1,"resource":{"primary":{"URL":"https:\/\/jocr.co.in\/wp\/2026\/10\/primary-total-hip-arthroplasty-for-a-displaced-femoral-neck-fracture-in-an-above-the-knee-amputee-a-case-report\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026]]},"references-count":0,"journal-issue":{"issue":"10","published-online":{"date-parts":[[2026]]},"published-print":{"date-parts":[[2026]]}},"URL":"https:\/\/doi.org\/10.13107\/jocr.2026.v16.i10.8216","relation":{},"ISSN":["2321-3817"],"issn-type":[{"value":"2321-3817","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026]]}}}