{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T14:46:54Z","timestamp":1787755614707,"version":"build-2784847793"},"reference-count":26,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"4","funder":[{"name":"None."}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"<jats:sec>\n                    <jats:title>Case:<\/jats:title>\n                    <jats:p>We report the case of a patient with a below-the-knee amputation who sustained a complex femur fracture ipsilateral to his residual limb after a fall from height. His fracture was managed with a lateral locking plate of the distal femur for fixation. He was followed for 16 months; at 7 months, he demonstrated return to pretrauma functional status.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Fixation of the distal femur with a lateral locking plate did not interfere with the patient's ability to wear a prosthesis and should be considered for managing \u201cperiprosthetic\u201d femur fractures in those with a below-the-knee amputation to maintain prosthetic usage.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.2106\/jbjs.cc.25.00351","type":"journal-article","created":{"date-parts":[[2025,11,13]],"date-time":"2025-11-13T19:00:27Z","timestamp":1763060427000},"update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Distal Femur Fracture Above a High Below-The-Knee Amputation Managed With Lateral Locking Plate"],"prefix":"10.2106","volume":"15","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2719-2482","authenticated-orcid":false,"given":"Catherine M.","family":"Call","sequence":"first","affiliation":[{"name":"Department of Orthopedic Surgery, Brown University, Providence, Rhode Island"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2666-8327","authenticated-orcid":false,"given":"Andrew D.","family":"Lachance","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, Guthrie Clinic, Sayre, Pennsylvania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Matthew R.","family":"Camuso","sequence":"additional","affiliation":[{"name":"MMP Orthopedics and Sports Medicine, Maine Medical Center, Portland, Maine"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2025,10]]},"reference":[{"key":"bib1-20251113","doi-asserted-by":"crossref","first-page":"62","DOI":"10.1016\/S0020-1383(00)80034-0","article-title":"The epidemiology of fractures of the distal femur","volume":"31","author":"Martinet","year":"2000","journal-title":"Injury."},{"issue":"6","key":"bib2-20251113","doi-asserted-by":"crossref","first-page":"957","DOI":"10.3109\/17453678208992855","article-title":"Epidemiology and treatment of distal femoral fractures in adults","volume":"53","author":"Kolmert","year":"1982","journal-title":"Acta Orthopaedica Scand."},{"key":"bib3-20251113","doi-asserted-by":"crossref","first-page":"188","DOI":"10.1097\/00003086-198809000-00033","article-title":"Epidemiology of diaphyseal and distal femoral fractures in Rochester, Minnesota, 1965-1984","volume":"234","author":"Arneson","year":"1988","journal-title":"Clin Orthopaedics Relat Res."},{"issue":"7","key":"bib4-20251113","doi-asserted-by":"crossref","first-page":"1063","DOI":"10.1007\/s43465-023-00890-x","article-title":"Management and outcomes of hip fractures in lower limb amputees: a case series","volume":"57","author":"Huguet","year":"2023","journal-title":"Indian J Orthopaedics."},{"issue":"6","key":"bib5-20251113","doi-asserted-by":"crossref","first-page":"638","DOI":"10.5144\/0256-4947.1997.638","article-title":"Fracture of the femur in amputation stumps","volume":"17","author":"Mirdad","year":"1997","journal-title":"Ann Saudi Med."},{"issue":"4","key":"bib6-20251113","doi-asserted-by":"crossref","first-page":"238","DOI":"10.1097\/BOT.0b013e3182a66a8a","article-title":"Bone mineral density loss after combat-related lower extremity amputation","volume":"28","author":"Flint","year":"2014","journal-title":"J Orthopaedic Trauma."},{"issue":"6","key":"bib7-20251113","doi-asserted-by":"crossref","first-page":"915","DOI":"10.2106\/00004623-198163060-00008","article-title":"Fractures in lower limbs with prior amputation. 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