Non-Oncologic Total Femoral Arthroplasty: Retrospective Review

被引：35

作者：

Amanatullah, Derek F. ^{[1
]}

Trousdale, Robert T. ^{[1
]}

Hanssen, Arlen D. ^{[1
]}

Lewallen, David G. ^{[1
]}

Taunton, Michael J. ^{[1
]}

机构：

[1] Mayo Clin, Dept Orthoped Surg, Rochester, MN USA

来源：

JOURNAL OF ARTHROPLASTY | 2014年 / 29卷 / 10期

关键词：

total femoral arthroplasty; TFA; hip disarticulation; above knee amputation; compromised bone stock; REPLACEMENT; HIP;

D O I：

10.1016/j.arth.2014.05.012

中图分类号：

R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];

学科分类号：

100224 [整形外科学];

摘要：

Total femoral arthroplasty (TFA) is an option to amputation in the setting of excessive bones loss during revision total hip and knee arthroplasty. Twenty non-oncologic TFAs with a minimum of 2 years follow-up were retrospectively reviewed. The average clinical follow-up was 73 +/- 49 months. The incidence of new infection was 25% (5/20), while the overall infection rate was 35% (7/20). The incidence of primary hip instability was 10% (2/20), while the overall instability rate was 25% (5/20). Six patients (30%) required revision. The average pre-operative HHS was 30.2 +/- 13.1. The average post-operative HHS was 65.3 +/- 16.9. TFA is a viable alternative to amputation in non-oncologic patients with massive femoral bone deficiency. However, TFA performed poorly in the setting of infection and instability. (c) 2014 Elsevier Inc. All rights reserved.

引用

页码：2013 / 2015

页数：3

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