Distal femoral replacement: Difference between revisions
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== Description<br> == | == Description<br> == | ||
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.<br> | |||
== Indication | == Indication == | ||
The most common indication is a bone tumour located in the distal femur. | |||
== Clinical Presentation == | == Clinical Presentation == | ||
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== Pre-Op == | == 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 - 120<sup>o</sup> | |||
* Independently mobile with no aids | |||
== | === Main muscles affected === | ||
Gastrocnemius, quadriceps and hamstrings | |||
== Post-Op == | |||
<br> | |||
== Key Evidence == | == Key Evidence == | ||
Revision as of 21:40, 31 July 2017
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Top Contributors - George Prudden
Description
[edit | edit source]
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[edit | edit source]
The most common indication is a bone tumour located in the distal femur.
Clinical Presentation[edit | edit source]
add text here relating to the clinical presentation of the condition
Diagnostic Tests[edit | edit source]
add text here relating to diagnostic tests for the condition
Pre-Op[edit | edit source]
Possible complications[edit | edit source]
- 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[edit | edit source]
- May take 6-9 months to achieve optimal function
- ROM at knee 0 - 120o
- Independently mobile with no aids
Main muscles affected[edit | edit source]
Gastrocnemius, quadriceps and hamstrings
Post-Op[edit | edit source]
Key Evidence[edit | edit source]
add text here relating to key evidence with regards to any of the above headings
Resources
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add appropriate resources here
Case Studies[edit | edit source]
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Recent Related Research (from Pubmed)[edit | edit source]
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References[edit | edit source]
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