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

add text here relating to the clinical presentation of the condition

Diagnostic Tests

add text here relating to diagnostic tests for the condition

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

add text here relating to key evidence with regards to any of the above headings

Resources

add appropriate resources here

Case Studies

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

References

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