Introduction: Fracture of the femoral neck in a young adult with an ipsilateral transfemoral amputation is uncommon, and there is no consensus regarding the best treatment.

Methods: We present a unique case of a displaced right femoral neck fracture treated with closed reduction and percutaneous screw fixation in a twenty-eight-year-old woman with a preexisting ipsilateral transfemoral amputation.

Results: We observed satisfactory healing of the fracture with a slight varus deformity and no radiographic signs of osteonecrosis at one year.

Conclusion: In a young adult with a preexisting transfemoral amputation and an acute femoral neck fracture, reduction and fixation of the fracture may be a reasonable treatment option.

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http://dx.doi.org/10.2106/JBJS.CC.N.00119DOI Listing

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