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Megaprosthetic reconstruction for periprosthetic or highly comminuted fractures of the hip and knee.
- Source :
-
European journal of orthopaedic surgery & traumatology : orthopedie traumatologie [Eur J Orthop Surg Traumatol] 2014 May; Vol. 24 (4), pp. 553-7. Date of Electronic Publication: 2013 May 21. - Publication Year :
- 2014
-
Abstract
- Objectives: To present the experience of a tertiary referral hospital in the management of a case series with hip or knee fractures by using modular megaprosthesis.<br />Patients and Methods: Seventeen consecutive patients with highly comminuted fractures of the knee (n = 2), periprosthetic fractures of knee (n = 10) or hip (n = 5) were included. Fractures were managed with modular megaprosthesis (including total hip in 2 cases). Postoperative complications like infection and instability and outcome measures like return to previous mobility and living were recorded.<br />Results: The mean age at time of surgery was 77 years (25-91), and mean follow-up was 44 months (13-98). We had no intra-operative complications. There were 3 deep periprosthetic infections, 1 hip and 2 knee. In the hip group, including total femur patients, we had 2 dislocations (2/7), both managed with closed reduction. No aseptic loosening was seen. 15/17 patients regained walking ability, and 16 were discharged to independent living. Nine patients have died at the time of follow-up.<br />Conclusions: In these often old and physically compromised patients with highly comminuted fractures or complicated periprosthetic fractures, modular megaprosthesis could be a good surgical option. It can provide immediate stability and allow early mobilization.
- Subjects :
- Adult
Aged
Aged, 80 and over
Arthroplasty, Replacement, Hip adverse effects
Arthroplasty, Replacement, Knee adverse effects
Female
Follow-Up Studies
Fractures, Comminuted diagnostic imaging
Fractures, Comminuted surgery
Hip Fractures diagnostic imaging
Humans
Knee Injuries diagnostic imaging
Male
Middle Aged
Prosthesis Failure
Prosthesis Implantation methods
Radiography
Recovery of Function
Retrospective Studies
Treatment Outcome
Arthroplasty, Replacement, Hip methods
Arthroplasty, Replacement, Knee methods
Hip Fractures surgery
Hip Prosthesis
Knee Injuries surgery
Knee Prosthesis
Subjects
Details
- Language :
- English
- ISSN :
- 1432-1068
- Volume :
- 24
- Issue :
- 4
- Database :
- MEDLINE
- Journal :
- European journal of orthopaedic surgery & traumatology : orthopedie traumatologie
- Publication Type :
- Academic Journal
- Accession number :
- 23689913
- Full Text :
- https://doi.org/10.1007/s00590-013-1237-7