Acute Distal Femoral Replacement for Fractures About the Knee in the Elderly

Olivia M Rice; Bryan D Springer; Madhav A Karunakar

doi:10.1016/j.ocl.2019.08.007

Acute Distal Femoral Replacement for Fractures About the Knee in the Elderly

Orthop Clin North Am. 2020 Jan;51(1):27-36. doi: 10.1016/j.ocl.2019.08.007. Epub 2019 Oct 17.

Authors

Olivia M Rice¹, Bryan D Springer², Madhav A Karunakar³

Affiliations

¹ Department of Orthopaedic Surgery, Carolinas Medical Center, Atrium Health Musculoskeletal Institute, 1025 Morehead Medical Drive, Suite 300, Charlotte, NC 28204, USA.
² OrthoCarolina Hip and Knee Center, Atrium Health Musculoskeletal Institute, 2001 Vail Avenue Suite 200A, Charlotte, NC 28207, USA.
³ Department of Orthopaedic Surgery, Carolinas Medical Center, Atrium Health Musculoskeletal Institute, 1025 Morehead Medical Drive, Suite 300, Charlotte, NC 28204, USA. Electronic address: madhav.karunakar@atriumhealth.org.

PMID: 31739877
DOI: 10.1016/j.ocl.2019.08.007

Abstract

Distal femoral replacement (DFR) is a reasonable treatment option when used for select indications. In the setting of comminuted intra-articular distal femoral fractures, distal femoral arthroplasty should be considered in low-demand patients with poor bone quality. This article summarizes the existing literature plus the authors' personal experience with DFR use for distal femoral fractures of the native knee.

Keywords: Distal femoral replacement; Distal femur fracture; Elderly; Megaprosthesis; Replantation.

Publication types

Comparative Study
Review

MeSH terms

Aged
Femoral Fractures / surgery*
Femur / surgery*
Fractures, Comminuted / surgery*
Humans
Intra-Articular Fractures / surgery
Knee Joint / surgery*
Middle Aged
Postoperative Care
Prosthesis Implantation / methods
Reoperation / methods
Reoperation / statistics & numerical data
Replantation / methods
Replantation / statistics & numerical data
Retrospective Studies
Treatment Outcome