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Treatment of Ankle Osteoarthritis with Total Ankle Replacement Through a Lateral Transfibular Approach
Published on: January 24, 2018
Total femur replacement
1Department of Orthopaedic Surgery, Alexandria University, Smouha Landmark Building 44-D, 14th May St., Smouha, Alexandria, Egypt. egyptadel28@hotmail.com
Archives of Orthopaedic and Trauma Surgery
|August 1, 2009
Summary
Total femoral replacement effectively restores function after extensive femur resection for sarcoma. This procedure offers a better functional outcome than hip disarticulation, enabling patients to ambulate.
Area of Science:
- Orthopedic Oncology
- Reconstructive Surgery
Background:
- Massive resection of thigh bone and soft tissue sarcomas necessitates complex reconstruction.
- Total femoral replacement aims to restore limb integrity and ambulation post-resection.
- Existing literature primarily consists of isolated case studies.
Purpose of the Study:
- To evaluate the efficacy of total femur replacement in patients undergoing massive resection for thigh sarcomas.
- To assess functional and radiographic outcomes following endoprosthetic reconstruction.
Main Methods:
- Nine consecutive patients underwent total femur resection and reconstruction with total femur replacement.
- Patient cohort included primary bone tumors, soft-tissue tumors, and metastatic disease.
- Follow-up included functional assessments (Enneking method) and radiographic evaluations (ISOLS method).
Main Results:
- Mean follow-up was 51 months; four patients survived, five died from disease.
- Excellent functional outcomes (mean 72% Enneking score) and radiographic results were observed.
- Key determinant of function was the competence of the extensor mechanism; knee flexion averaged 60 degrees.
Conclusions:
- Endoprosthetic total femur replacement is a reliable method for restoring mechanical and functional results.
- The procedure provides superior functional capacity compared to hip disarticulation.
- Extensor mechanism competence is crucial for optimal functional recovery.
