Previous reports on surgical treatment of fractures occurred in amputated limbs are scarce. We report 5 patients with femoral and hip fractures of amputated limb in which they regained walking ability with prosthesis by rehabilitation with physiotherapist and prosthetist.

Included in this report, 5 patients of hip and femoral fracture who had received surgical treatment in our hospital, 3 cases were men and 2 cases were women.

Mean age was 64.2 years (range: 37 to 83 years), 3 cases had received above knee amputation and 2 cases had underwent below-knee amputation. Causes of amputation included trauma in 3 cases and diabetes in 2 cases. In this case series, period of hospitalization, complication, rehabilitation for amputee were examined.

All patients were able to walk independently with prosthesis and when they left hospital. Mean period of non-weight-bearing was 7.2 weeks (range: 0–12 weeks), and that of regaining walking ability for daily life was 14.0 weeks (range: 8–18 weeks). Two patients suffered from localized pain due to skin irritation but resolved by removal of implants. Temporary substitution of a socket was necessary for all patients due to swelling of soft tissue after surgery.

In surgical treatment of amputated limbs, orthopedic surgeons choose implants considering the length and shape of remaining bone. We also consider skin irritation between screws, plates and prosthesis. Volume of soft tissue changes after surgery, so we used bigger socket temporarily to continue rehabilitation, which leads to good outcome. Careful observation of amputated limb and treatment by close cooperation with physiotherapist and prosthetist is important for rehabilitation of amputees.