JBJS, March 1, 2005, Volume 87, Issue 3

Creation of an Above-the-Knee Amputation Stump After Hip Disarticulation for Severe Periprosthetic Infection and Fracture

Friedrich Bottner, MD Christian Götze, MD Armin Koller, MD Jörn Steinbeck, MD Winfried Winkelmann, MD Georg Gosheger, MD

Hip Knee

Recurrent infection at the site of a total joint replacement secondary to a highly resistant organism in combination with a periprosthetic fracture presents a treatment challenge. To salvage this situation, a hip disarticulation or a type-B-IIIb rotationplasty, as described by Winkelmann, are the only viable surgical techniques reported in the literature of which we are aware1,2. The purpose of our report is to present an alternative surgical technique for creating an above-the-knee stump with use of a modular proximal femoral replacement with a bipolar head after hip disarticulation. The procedure consists of two stages.

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