Rotationplasty as a salvage procedure in revision of tumor endoprosthesis of the distal femur - a report of two cases

2000 ◽  
Vol 120 (9) ◽  
pp. 541-543 ◽  
Author(s):  
W. Nebelung ◽  
T. Birger ◽  
M. Röpke ◽  
H. W. Neumann
Keyword(s):  
Distal Femur ◽  
Salvage Procedure ◽  
Tumor Endoprosthesis

scholarly journals A 2-stage Distal Femur Reconstruction with Expandable Endoprosthesis in a Pediatric Patient Presenting with a Pathologic Fracture through an Osteosarcoma

2019 ◽  
Vol 53 (1) ◽  
Author(s):  
Jasson Louie R. Arcinue ◽  
Edward H.M. Wang ◽  
Gregorio Marcelo S. Azores
Keyword(s):  
Neoadjuvant Chemotherapy ◽  
Pediatric Patient ◽  
Pediatric Patients ◽  
Distal Femur ◽  
Medical Literature ◽  
Pathologic Fracture ◽  
Wide Excision ◽  
Functional Score ◽  
Second Stage ◽  
Tumor Endoprosthesis

Osteosarcoma in pediatric patients has traditionally been treated with amputation, especially if there is a pathologic fracture through the tumor.We report the case of a 12-year-old boy who sustained a pathologic fracture through distal femoral osteosarcoma. After neoadjuvant chemotherapy, he underwent limb saving surgery: wide excision of the osteosarcoma followed by a second-stage reconstruction with an expandable tumor endoprosthesis. He has a functional score of 93% and is free of disease 8 years since diagnosis and 2 years since the end of lengthening.This is the first reported case in Philippine medical literature of limb saving surgery in osteosarcoma reconstructed with an expandable endoprosthesis.

A tumor endoprosthesis is useful in elderly rheumatoid arthritis patient with acute intercondylar fracture of the distal femur

2011 ◽  
Vol 32 (5) ◽  
pp. 1411-1413 ◽  
Author(s):  
Hiroki Wakabayashi ◽  
Yohei Naito ◽  
Masahiro Hasegawa ◽  
Tomoki Nakamura ◽  
Akihiro Sudo
Keyword(s):  
Rheumatoid Arthritis ◽  
Rheumatoid Arthritis Patient ◽  
Distal Femur ◽  
Tumor Endoprosthesis

The use of the Ilizarov method as a salvage procedure in infected nonunion of the distal femur with bone loss

2006 ◽  
Vol 88-B (2) ◽  
pp. 232-237 ◽  
Author(s):  
A. Saridis ◽  
E. Panagiotopoulos ◽  
M. Tyllianakis ◽  
C. Matzaroglou ◽  
N. Vandoros ◽  
...  
Keyword(s):  
Bone Loss ◽  
Distal Femur ◽  
Ilizarov Method ◽  
Salvage Procedure ◽  
Infected Nonunion

scholarly journals Proximal And Distal Femur Replacement For Patient With Non Union Fracture Of Intertrochanteric And Supracondylar Of Femur In A District Hospital

2020 ◽  
Vol 8 (5_suppl5) ◽  
pp. 2325967120S0011
Author(s):  
SL Chin ◽  
H Umar ◽  
A Zaharul
Keyword(s):  
Internal Fixation ◽  
Alternative Treatment ◽  
Bone Grafting ◽  
Distal Femur ◽  
Pain Patient ◽  
Unstable Fracture ◽  
Salvage Procedure ◽  
Non Union ◽  
Comminuted Fracture ◽  
Distal Femur Replacement

Introduction: Non-union of intertrochanteric and supracondylar fractures of femur are uncommon which results in pain and functional disability, presenting major surgical challenge. We wish to report on two cases regarding endoprosthesis as management for non-union. Case Presentation: Patient A is 54 years old lady sustained closed comminuted intertochanteric fracture of right femur (31A2.3). She underwent open reduction, intramedullary nail with cerclage wire on day 3 post trauma. At 6 months, there is sign of avascular necrosis of femur head with non-union fracture site. Patient still complaining of pain, on non-weight bearing ambulation. At 1 year, patient underwent right proximal femur replacement. At 3 months post replacement, she is able to full weight bear with walking cane without pain. Patient B is 56 years old gentleman sustained Grade IIIa open comminuted fracture of right supracondylar with intercondylar split (33C2.2). He underwent emergency wound debridement, screw fixation with high tibial pin insertion. At 4 months, he underwent distal locking plate of right femur with synthetic bone grafting. At 8 months post fixation, there is non-union comminuted fracture of supracondylar, still unable to weight bear. At 1.5 year post trauma, patient underwent right distal femur replacement. At 3 weeks post replacement, he is able to full weight bear without aid. Discussion: Most failures of treatment occur in unstable fracture patterns of hip. (1) Endoprosthesis may provide as alternative treatment if internal fixation are recognized to be suboptimal, amount and quality of remaining distal bone stock and level of the non-union. (2,3) In both our cases, patient experienced marked improvement in functional capacity and pain free, which are the hallmarks of a successful salvage procedure. (4) Conclusion: Endoprosthesis can be consider as alternative treatment for non-union intertrochanteric and supracondylar fracture of femur, hence providing stable joint, pain free and early return to daily activities. References: 1) Dhammi, I., Singh, A., Mishra, P., Jain, A., Rehan-Ul-Haq, & Jain, S. (2011). Primary nonunion of intertrochanteric fractures of femur: Analysis of results of valgization and bone grafting. Indian Journal of Orthopaedics, 45(6), 514.doi:10.4103/0019-5413.87122 2) Outcomes of modular proximal femoral replacement in thetreatment of complex proximal femoral fractures: A caseseries: Andrew J. Schoenfeld, Mark C. Leeson, Gregory A. Vrabec, Joseph Scaglione,Matthew J. Stonestreet. International journal of surgery 6 (2008) 140–146 3) Chapman MW. Nonunions and malunions of the femoral shaft and patella. In: Chapman MW, editor. Operative orthopedics. 2nd ed. Philadelphia: J.B. Lippincott; 1993. p. 841 4) Haidukewych, G. J., Springer, B. D., Jacofsky, D. J., & Berry, D. J. (2005). Total KneeArthroplasty for Salvage of Failed Internal Fixation or Nonunion of the Distal Femur. The Journal of Arthroplasty, 20(3), 344–349. doi:10.1016/j.arth.2004.03.026

Endoprothetik des Ellenbogen -gelenkes

2015 ◽  
Vol 35 (02) ◽  
pp. 83-89
Author(s):  
R. Scholz
Keyword(s):  
Salvage Procedure

ZusammenfassungDie endoprothetische Versorgung des Ellenbogengelenkes zählt zu den eher seltenen, technisch anspruchsvollen und komplikationsbehafteten Verfahren in der Kunstgelenkchirurgie. Ihr Einsatz beschränkt sich, von seltenen Ausnahmeindikationen abgesehen, auf die stark schmerzhaften Funktionseinschränkungen bei fortgeschrittenen, zumeist sekundären Cubitalarthrosen und ausgeprägten traumatischen Schäden. Andererseits ist sie bei hochgradiger Gelenkzerstörung nach ausgeschöpfter gelenkerhaltender Therapie weitgehend alternativlos. Hinsichtlich der Implantate werden heute überwiegend halb -gekoppelte Systeme verwendet, wohingegen die in der Vergangenheit in vergleichbarer Anzahl implantierten ungekoppelten Endoprothesensysteme an Bedeutung verloren haben. In den vergangenen Jahren sind erste Ansätze technischer Neuerungen für die Entwicklung modularer Systeme entstanden. Dennoch muss häufiger als an anderen Gelenken nach Versagen der Endoprothese auf individuell angefertigte Sonderimplantate zurückgegriffen werden. Arthrodesen oder Resektions-Interpositions-Arthroplastiken sind als Salvage-Procedure nur selten sinnvoll möglich und oft mit erheblichen funktionellen Einschränkungen verbunden. Sie stellen somit keine wirklichen Alternativen zur Revisions -alloarthroplastik dar. Ein besonders großes Problem ist in einer septischen Lokalsituation zu sehen.

Hisotological and radiographic determination of the age of physeal closure of the distal femur, proximal tibia, and proximal fibula of the New Zealand white rabbit

1994 ◽  
Vol 12 (5) ◽  
pp. 747-749 ◽  
Author(s):  
Moises Kaweblum ◽  
Maria Del Carmen Aguilar ◽  
Eduardo Blancas ◽  
Jaime Kaweblum ◽  
Wallace B. Lehman ◽  
...  
Keyword(s):  
New Zealand ◽  
Distal Femur ◽  
Proximal Tibia ◽  
Zealand White Rabbit ◽  
Proximal Fibula ◽  
New Zealand White Rabbit ◽  
Physeal Closure

scholarly journals Full Thickness Tear of Quadriceps Tendon Associated with Closed Intra-Articular Distal Femur Fracture: A Case Report

2021 ◽  
pp. 131-137
Author(s):  
Santanu Kar ◽  
Hemant Bansal ◽  
Vijay Sharma ◽  
Kamran Farooque
Keyword(s):  
Case Report ◽  
Distal Femur ◽  
Femur Fracture ◽  
Femoral Fractures ◽  
Quadriceps Tendon ◽  
Successful Outcome ◽  
Postoperative Rehabilitation ◽  
Present Case Report ◽  
Distal Femur Fracture ◽  
Rare Association

Fractures of the supracondylar and intercondylar region of the distal femur usually result from high velocity injury that is uncommonly associated with violation of the integrity of the extensor mechanism. The consequences of missed quadriceps injury associated with a distal femur fracture are devastating. The present case report illustrates the importance of recognizing the rare association of quadriceps tear with distal femoral fractures, an appropriate surgical approach to repair the tear as well as fixation of fracture, and a protocol of postoperative rehabilitation to achieve a successful outcome.

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