Distal femoral replacement

Original Editor - George Prudden

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
[edit | edit source]

add appropriate resources here

Case Studies[edit | edit source]

add links to case studies here (case studies should be added on new pages using the case study template)

References[edit | edit source]

References will automatically be added here, see adding references tutorial.