TY - JOUR
T1 - Non-Oncologic Total Femoral Arthroplasty
T2 - Retrospective Review
AU - Amanatullah, Derek F.
AU - Trousdale, Robert T.
AU - Hanssen, Arlen D.
AU - Lewallen, David G.
AU - Taunton, Michael J.
N1 - Publisher Copyright:
© 2014 Elsevier Inc.
PY - 2014/10/1
Y1 - 2014/10/1
N2 - 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.
AB - 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.
KW - Above knee amputation
KW - Compromised bone stock
KW - Hip disarticulation
KW - TFA
KW - Total femoral arthroplasty
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U2 - 10.1016/j.arth.2014.05.012
DO - 10.1016/j.arth.2014.05.012
M3 - Article
C2 - 25041874
AN - SCOPUS:84911004185
SN - 0883-5403
VL - 29
SP - 2013
EP - 2015
JO - Journal of Arthroplasty
JF - Journal of Arthroplasty
IS - 10
ER -