Megaprosthetic reconstruction for periprosthetic or highly comminuted fractures of the hip and knee.
Eur J Orthop Surg Traumatol
; 24(4): 553-7, 2014 May.
Article
em En
| MEDLINE
| ID: mdl-23689913
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. PATIENTS ANDMETHODS:
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.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.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.
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Base de dados:
MEDLINE
Assunto principal:
Artroplastia de Quadril
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Artroplastia do Joelho
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Fraturas do Quadril
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Prótese de Quadril
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Traumatismos do Joelho
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Prótese do Joelho
Idioma:
En
Ano de publicação:
2014
Tipo de documento:
Article