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Journal of Long-Term Effects of Medical Implants
Главный редактор: Subrata Saha (open in a new tab)

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ISSN Печать: 1050-6934

ISSN Онлайн: 1940-4379

SJR: 0.184 SNIP: 0.485 CiteScore™:: 1.1 H-Index: 39

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Ipsilateral Hip and Knee Reconstruction Using an Intramedullary Total Femoral Replacement System

Том 34, Выпуск 1, 2024, pp. 59-63
DOI: 10.1615/JLongTermEffMedImplants.2022045124
Submitted: Jul 16 2022 Accepted: Nov 17 2022 Published online: Jun 29 2023
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Olga D. Savvidou
First Department of Orthopedics, National and Kapodistrian University of Athens, Medical School, ATTIKON University General Hospital, GREECE
Panayiotis Gavriil
First Department of Orthopedics, National and Kapodistrian University of Athens, Atikon University General Hospital, Athens, Greece
Ioannis G. Trikoupis
First Department of Orthopedics, National and Kapodistrian University of Athens, School of Medicine, Attikon University Hospital, 12462, Athens, Greece
Stavros Goumenos
First Department of Orthopedics, National and Kapodistrian University of Athens, ATTIKON University General Hospital, Athens, Greece
Christos Vottis
First Department of Orthopedics, National and Kapodistrian University of Athens, ATTIKON University General Hospital, Greece
Dimitra Melissaridou
First Department of Orthopedics, National and Kapodistrian University of Athens, ATTIKON University General Hospital, Athens, Greece
Angelos Kaspiris
First Department of Orthopedics, National and Kapodistrian University of Athens, Atikon University General Hospital, Athens, Greece
Panayiotis D. Megaloikonomos
First Department of Orthopaedics, National and Kapodistrian University of Athens, School of Medicine, ATTIKON University Hospital, Athens, Greece
Panayiotis J. Papagelopoulos (Corresponding author pjporthopedic@gmail.com)
First Department of Orthopedics, National and Kapodistrian University of Athens, Atikon University General Hospital, Athens, Greece

Краткое описание

The intramedullary total femoral reconstruction (ITFR) was used successfully in a 62-year-old patient with myxoid liposarcoma of the thigh and post-radiation fracture nonunion of the proximal femur and osteonecrosis of the ipsilateral knee. This described technique offers the advantage of a less invasive prosthesis insertion, preservation of the surrounding muscle attachments, better functional outcomes, and lower complication rates. Total femoral reconstruction using ITFR, preserving the femoral diaphysis, could be an option to address concomitant hip and knee defects, especially in patients with poor soft tissue quality.

Figures

  • FIG. 1: (A) Preoperative photograph of the patient showing the valgus deformity of the right knee. (B) Photograph of the posterior aspect of the limb showing the poor skin quality post-radiation. (C) Anteroposterior radiograph presenting the failure of the intramedullary nail due to non-union and the genu valgum deformity.
  • FIG. 2: (A-C) Intraoperative photograph showing the resection of the proximal femur and the broken nail. (D) Intraoperative photograph showing the tibial tubercle osteotomy with retraction of the patella. (E) Insertion of the tibial component. (F) The distal femoral implant and the intramedullary connecting rod. (G) Implantation of the tibial component. (H-J) Implantation of the proximal femoral component and reattachment of the soft tissues on the trevira tube.
  • FIG. 3: (A) Illustration of the intramedullary total femoral reconstruction device. (B) Anteroposterior radiograph of the femur and proximal tibia four years after surgery.
Ключевые слова: limb salvage surgery, soft tissue sarcoma, postradiation fracture, postradiation knee osteonecrosis
ЛИТЕРАТУРА

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