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Non-oncologic Total Femoral Arthroplasty: A Case Report
Max McCall1, Andrew Corbett2, Patricia Baumann3
1Orthopedics, University of Central Florida College of Medicine, Orlando, USA.
Cureus
|June 2, 2022
Summary
Total femoral arthroplasty (TFA) offers a limb-salvaging solution for patients with severe bone loss after multiple knee replacements. This procedure can restore function, serving as an alternative to amputation when implants fail.
Area of Science:
- Orthopedic Surgery
- Biomedical Engineering
Background:
- Increasing patient longevity leads to a rise in revision arthroplasties as implants approach their expiration.
- Repeated revision surgeries can result in significant bone loss and compromised stability, limiting future treatment options.
Observation:
- A 73-year-old male with a history of multiple right lower-limb surgeries due to motorcycle accidents presented with persistent pain and poor femoral bone stock after several total knee arthroplasty (TKA) revisions.
- A total femoral arthroplasty (TFA) was performed to address the extensive bone loss and instability.
Findings:
- The TFA procedure was successful, meeting post-operative expectations despite initial rehabilitation challenges.
- This case demonstrates TFA's efficacy in salvaging the limb and restoring function in complex revision scenarios.
Implications:
- Total femoral arthroplasty is a viable limb-salvaging alternative to amputation for aseptic, non-oncologic bone loss following multiple knee revisions.
- Careful patient selection and meticulous post-operative management are crucial to mitigate risks such as infection and other complications associated with TFA.
