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Creation of an Above-the-Knee Amputation Stump After Hip Disarticulation for Severe Periprosthetic Infection and FractureA Report of Two Cases
Friedrich Bottner, MD1; Christian Götze, MD1; Armin Koller, MD2; Jörn Steinbeck, MD1; Winfried Winkelmann, MD1; Georg Gosheger, MD1
1 Department of Orthopaedics, University Hospital of Muenster, A. Schweitzer Strasse 33, 48129 Muenster, Germany. E-mail address for F. Bottner: drboettner@email.de
2 Department of Technical Orthopaedics, University of Muenster, Robert-Koch-Strasse 30, 48149 Muenster, Germany
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The authors did not receive grants or outside funding in support of their research or preparation of this manuscript. They did not receive payments or other benefits or a commitment or agreement to provide such benefits from a commercial entity. No commercial entity paid or directed, or agreed to pay or direct, any benefits to any research fund, foundation, educational institution, or other charitable or nonprofit organization with which the authors are affiliated or associated.
Investigation performed at the Department of Orthopaedics, University Hospital of Muenster, Muenster, Germany

The Journal of Bone and Joint Surgery, Incorporated
J Bone Joint Surg Am, 2005 Feb 01;87(2):410-413. doi: 10.2106/JBJS.D.01948
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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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