Length-Preserving Intramedullary Femoral Fixation for Traumatic Leg Amputation by Jennifer M. Bauer, Alexandra K. Callan, and A. Alex Jahangir JBJS Case.

Length-Preserving Intramedullary Femoral Fixation for Traumatic Leg Amputation

by Jennifer M. Bauer, Alexandra K. Callan, and A. Alex Jahangir

JBJS Case ConnectVolume 5(2):e38

May 13, 2015

©2015 by The Journal of Bone and Joint Surgery, Inc.

Original injury radiograph of the left knee.

Jennifer M. Bauer et al. JBJS Case Connect 2015;5:e38

©2015 by The Journal of Bone and Joint Surgery, Inc.

Initial injury photograph of the traumatic amputation and soft-tissue stripping of the left leg.

Jennifer M. Bauer et al. JBJS Case Connect 2015;5:e38

©2015 by The Journal of Bone and Joint Surgery, Inc.

Dissection of the distal end of the femur for distal femoral excision.

Jennifer M. Bauer et al. JBJS Case Connect 2015;5:e38

©2015 by The Journal of Bone and Joint Surgery, Inc.

Intraoperative fluoroscopy image showing femoral reaming through the distal amputation.

Jennifer M. Bauer et al. JBJS Case Connect 2015;5:e38

©2015 by The Journal of Bone and Joint Surgery, Inc.

Intraoperative photograph showing placement of the femoral nail through the amputation site.

Jennifer M. Bauer et al. JBJS Case Connect 2015;5:e38

©2015 by The Journal of Bone and Joint Surgery, Inc.

Initial postoperative radiograph showing that the nail was countersunk to allow sufficient room for distal myodesis.

Jennifer M. Bauer et al. JBJS Case Connect 2015;5:e38

©2015 by The Journal of Bone and Joint Surgery, Inc.

Wound closure after intramedullary nail placement with the 15 × 10-cm wound bed treated with negative-pressure dressing and later closed.

Jennifer M. Bauer et al. JBJS Case Connect 2015;5:e38

©2015 by The Journal of Bone and Joint Surgery, Inc.

Radiograph made at the final follow-up evaluation showing the healed fracture.

Jennifer M. Bauer et al. JBJS Case Connect 2015;5:e38

©2015 by The Journal of Bone and Joint Surgery, Inc.