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Knee

ENDOPROSTHETIC REPLACEMENT OF THE DISTAL FEMUR FOR PERIPROSTHETIC FRACTURES

British Association for Surgery of the Knee (BASK)



Abstract

Aim

A case series with functional and radiographic outcomes, of modular endoprosthetic distal femoral replacement in complex cases of periprosthetic fracture.

Method

Sixteen cases were identified of endoprosthetic replacement (EPR) from the bone and soft tissue cancer implant registry. A retrospective review was undertaken.

Results

There were 11 periprosthetic fractures of total knee arthroplasty, 3 revision arthroplasty cases, and 3 cases of distal femoral fracture. Of which four were complicated by infection.

AKSS scores ranged from 62-100, average 82, with 6 month minimum follow up. There were two post operative infections, both successfully treated. One femoral component required exchange for aseptic loosening at two years.

Conclusion

EPR is an effective surgical procedure for complex cases with a demonstrable good functional outcome.