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Updated: Feb 5, 2026

Treatment of Ankle Osteoarthritis with Total Ankle Replacement Through a Lateral Transfibular Approach

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Published on: January 24, 2018

[Advances in total femur replacement].

Fan Wu¹, Xiang Fang², Zhigang Lang²

¹Department of Orthopedics, West China Hospital, Sichuan University, Chengdu Sichuan, 610041, P.R.China;Department of Orthopedics, Fourth People's Hospital of Zigong, Zigong Sichuan, 643000, P.R.China.

Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi = Zhongguo Xiufu Chongjian Waike Zazhi = Chinese Journal of Reparative and Reconstructive Surgery

|September 15, 2018

Summary

Total femur replacement effectively salvages limbs in cases of extensive femur damage. Further research is needed to standardize indications, rehabilitation, and reduce complications for improved outcomes.

Keywords:

Total femur replacement femur tumor revision

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Area of Science:

Orthopedic Surgery
Reconstructive Surgery
Biomedical Engineering

Background:

Total femur replacement addresses extensive femur involvement, including large bone defects and skip lesions, often in revision cases.
The procedure aims to restore function and salvage limbs when conservative treatments are insufficient.

Purpose of the Study:

To review and summarize recent advancements in total femur replacement surgery.
To consolidate current knowledge on indications, techniques, prosthesis design, complications, and rehabilitation.

Main Methods:

A comprehensive literature review was conducted on total femur replacement.
Key aspects examined include surgical indications, procedural techniques, prosthesis evolution, associated complications, and patient rehabilitation protocols.

Main Results:

Indications include wide femur involvement, skip lesions, and significant bone defects in revision surgery.
Surgical techniques prioritize protection of neurovascular structures and muscles, utilizing diverse prosthesis designs.
Complications are frequent and varied, with rehabilitation involving early physical therapy and progressive weight training.

Conclusions:

Total femur replacement is an effective limb-salvage procedure.
Further large-scale, long-term studies are recommended to refine indications, standardize functional recovery, and minimize postoperative complications.