medigraphic.com
ISSN 2992-8036 (Electronic)
ISSN 2306-4102 (Print)
Órgano Oficial del Colegio Mexicano de Ortopedia y Traumatología

2015, Number 4

<< Back Next >>

Acta Ortop Mex 2015; 29 (4)

Total femoral replacement. Three case reports and literature review

Rivera C, Ilizaliturri-Sánchez V, Camacho-Galindo J, González-Ugalde H, Alba-Sánchez I

Language: Spanish
References: 13
Page: 223-227
PDF size: 220.73 Kb.


ABSTRACT

Introduction: Currently hip and knee joint replacement were performed frequently at orthopedic centers. However, these surgeries do not last forever and thus revision procedures are required. The latter usually involve complications like bone loss that may compromise implant stability. Methods: Three hip and knee arthroplasty revisions were performed from 2006 to 2011, which warranted the total replacement of the femur and the joints involved. The purpose of this paper is to describe our experience with these implants used in arthroplasty revision surgery. Results: A standardized postoperative management protocol was used in all patients. They required debridement and specific antibiotic therapy. They had a significant improvement in the pain visual analog scale (VAS) (the score went from 8 to 2.3, p ‹ 0.05) and in function, measured with the WOMAC score (from a preoperative score of 21.6 to 55, p ‹ 0.05). Conclusions: Total femoral replacement is an infrequent, demanding and complex salvage surgery that represents an alternative to the disarticulation of the pelvic limb at the end stage of prosthetic disease. This is a feasible option used to improve patient functionality and decrease residual capacity for performing activities independently.


REFERENCES

  1. Present DA, Kuschner SH: Total femoral replacement. A case report with 35-year follow-up study. Clin Orthop Relat Res. 1990; (251): 166-7.

  2. Berend KR, Lombardi AV Jr, Mallory TH, Adams JB, Dodds KL: Total femoral arthroplasty for salvage of end-stage prosthetic disease. Clin Orthop Relat Res. 2004; (427): 162-70.

  3. Ward WG, Dorey F, Eckardt JJ: Total femoral endoprosthetic reconstruction. Clin Orthop Relat Res. 1995; (316): 195-206.

  4. Marcove RC, Lewis MM, Huvos AG: Total femur and total knee replacement. A preliminary report. Clin Orthop Relat Res. 1977; 126: 147-52.

  5. Nerubay J, Katznelson A, Tichler T, Rubinstein Z, Morag B, Bubis JJ: Total femoral replacement. Clin Orthop Relat Res. 1988; (229): 143-8.

  6. Fountain JR, Dalby-Ball J, Carroll FA, Stockley I: The use of total femoral arthroplasty as a limb salvage procedure: the Sheffield experience. J Arthroplasty. 2007; 22(5): 663-9.

  7. Gebhardt MC, Goorin A, Traina J, et al: Long-term results of limb salvage and amputation in extremity osteosarcoma. In: Yamamuro T, editor. New developments for limb salvage in musculoskeletal tumors. New York: Springer; 1989: 99-109.

  8. Katznelson A, Nerubay J: Total femur replacement in sarcoma of the distal end of the femur. Acta Orthop Scand. 1980; 51(5): 845-51.

  9. Marcove RC, Khafagy MM: Total femur and knee replacement using a metallic prosthesis. Clin Bull. 1974; 4(2): 69-71.

  10. Friesecke C, Plutat J, Block A: Revision arthroplasty with use of a total femur prosthesis. J Bone Joint Surg Am. 2005; 87(12): 2693-701.

  11. Steinbrink K, Engelbrecht E, Fenelon GC: The total femoral prosthesis. A preliminary report. J Bone Joint Surg Br. 1982; 64(3): 305-12.

  12. Freedman EL, Eckardt JJ: A modular endoprosthetic system for tumor and non-tumor reconstruction: preliminary experience. Orthopedics. 1997; 20(1): 27-36.

  13. Fabroni RH, Castagno A, Aguilera AL, Steverlynck AM, Zeballos J: Long-term results of limb salvage with the Fabroni custom made endoprosthesis. Clin Orthop Relat Res. 1999; (358): 41-52.




2020     |     www.medigraphic.com