Detailed step by step desription of Distal femoral replacement for Fracture around a loose femoral component with poor bone stock located in our module on Knee

Distal femoral replacement is an orthopaedic procedure which is most commonly associated with the sarcoma population. The distal portion of the femur (up to two thirds) is excised and replaced by a endoprosthesis incorporating a hinged total knee replacement.

There are numerous available options for the definitive treatment of distal femur fractures, including casting or use of hinged knee braces as conservative options, as well as intramedullary nailing and plating via ORIF as surgical options.

This book has information about your distal femoral replacement and the exercises you will need to do after your surgery. Your therapist will put a check (√) by the information below that applies to your surgery. Cemented. Non-cemented. TKA type (total knee replacement) Hinged. Allograft. Prosthetic composite. Patellar (knee cap) replacement. Yes.

Distal femoral endoprosthetic replacement has been successfully used to reconstruct distal femoral defects after tumor resection for over four decades. Despite continued advances, aseptic loosening continues to be the most common failure mode after infection.

After a breakthrough PJI after 3 years, he underwent 2-stage exchange with explantation and spacer insertion, followed by reimplantation 2 months later with distal femoral replacement (DFR) (Figure 1).

2024年11月15日 · For those fracture patterns surrounding an unstable, loose implant with poor bone stock, then fixation is not ideal; here, in my opinion, a distal femoral replacement is the treatment of choice to...

2019年12月14日 · Distal femoral replacement most commonly is used as a salvage procedure in revision total knee arthroplasty (TKA) involving severe bone loss, following oncologic resection, or in supracondylar periprosthetic femur fracture with poor bone quality and …

Distal Femoral Replacement (DFR) is considered in selected patients with extensive intra-articular comminution, poor bone quality, unstable TKA, or pre-existing knee osteoarthritis or when ORIF and retrograde IMN are not feasible.

Here, the role of distal femoral replacement is reviewed, offering indications, salient technical points, and tips to avoid pitfalls while allowing for immediate, reliable weight bearing in this challenging patient population.