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Total Femoral Replacement- A Case Report.

Jose Guerra¹, Patrick Chaghouri¹, Jose Andres Guerra¹

¹Department of Surgery, University of Toronto, Scarborough Health Network, Ontario, Canada.

Geriatric Orthopaedic Surgery & Rehabilitation

|July 2, 2021

Summary

Total femoral replacement (TFR) is a crucial limb salvage procedure for complex cases. This salvage surgery successfully restored function and reduced pain in a patient with a failed knee prosthesis and hip fracture.

Keywords:

non-oncologic revision arthroplasty salvage procedure total femoral replacement total hip arthroplasty total knee arthroplasty

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Area of Science:

Orthopedic Surgery
Biomedical Engineering

Background:

Total femoral replacement (TFR) is a salvage procedure for severe bone loss after multiple failed endoprosthetic replacements.
It serves as an alternative to amputation, aiming to restore femoral integrity and ambulation.
Increasing revision arthroplasty rates are expected to drive higher demand for TFR.

Observation:

A 74-year-old overweight female patient presented with a history of multiple right knee surgeries.
Radiographs revealed a long-cemented knee tumor prosthesis and a Garden 4 subcapital hip fracture.
The patient's complex history necessitated a total femoral replacement.

Findings:

The total femoral replacement procedure was successfully performed.
The patient achieved the expected functional outcome post-surgery.
Successful limb preservation with improved functionality and pain reduction was achieved.

Implications:

TFR can overcome high complication rates like infection and dislocation with skilled surgical teams and rehabilitation.
This intervention significantly preserves limb function and quality of life for select patients.
TFR represents a viable, albeit drastic, option for managing complex orthopedic failures.