Distal femoral replacement
Original Editor - George Prudden
Top Contributors - George Prudden
Description
Distal femoral replacement is an orthopaedic procedure which is most commonly associated with the sarcoma population. The distal portion of the femur (up to two thirds) is excised and replaced by a endoprosthesis incorporating a hinged total knee replacement.
Indication
The most common indication is a bone tumour located in the distal femur.
Clinical Presentation
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Diagnostic Tests
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Pre-Op
Possible complications
- Wound healing/infection
- Neuropraxia
- Aseptic loosening
- Recurrence
- Poor patella tracking/patella dislocation
- Poor ROM requiring MUA
- Poor muscle control/power esp if extensive soft tissue excision
Expected outcome
- May take 6-9 months to achieve optimal function
- ROM at knee 0 - 120o
- Independently mobile with no aids
Main muscles affected
Gastrocnemius, quadriceps and hamstrings
Post-Op
Key Evidence
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Resources
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Case Studies
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References
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