Related Experiment Videos
The shattered femur: radical solution options
Adolph V Lombardi1, Keith R Berend
1Joint Implant Surgeons, Inc, New Albany, Ohio 43054, USA.
The Journal of Arthroplasty
|June 20, 2006
Summary
Total joint arthroplasty has evolved, leading to complex cases like the shattered femur in revision surgeries. This review covers indications and techniques for total femoral arthroplasty in unreconstructible femurs.
Area of Science:
- Orthopedic Surgery
- Biomedical Engineering
Background:
- Total joint arthroplasty has advanced significantly over 50 years.
- Increased use, younger patient indications, and longer lifespans lead to more revision surgeries.
- Limited implant longevity results in complex cases, including the shattered femur.
Purpose of the Study:
- To review the clinical scenarios necessitating total femoral arthroplasty.
- To present a recommended surgical technique for managing the shattered femur.
Main Methods:
- Literature review of total joint arthroplasty evolution and revision procedures.
- Analysis of clinical indications for total femoral arthroplasty.
- Description of surgical techniques for complex femoral reconstruction.
Main Results:
- The shattered femur presents a reconstructive challenge in orthopedic surgery.
- Total femoral arthroplasty is indicated in specific complex scenarios.
- A defined surgical technique can address these challenging cases.
Conclusions:
- Revision arthroplasty is increasingly common due to device longevity and expanded indications.
- The shattered femur requires specialized reconstructive approaches.
- Total femoral arthroplasty offers a solution for unreconstructible femurs.