Two stage revision with a proximal femur replacement.
Ralf DieckmannTom Schmidt-BraeklingGeorg GoshegerChristoph TheilJendrik HardesBurkhard MoellenbeckPublished in: BMC musculoskeletal disorders (2019)
Reinfections occurred in only 8% of patients who underwent two-stage exchanges with a proximal femur replacement. When revision surgery for the proximal femur replacement was required for mechanical reasons, however, the associated reinfections increased the reinfection rate to 18%. Proximal femur replacement achieves a clear reduction in pain, maintenance of leg length, and restoration of limited mobility, and the procedure thus represents a clear alternative to the extensive Girdlestone procedure, which is even more immobilising, or mutilating amputation.
Keyphrases
- bone mineral density
- minimally invasive
- total knee arthroplasty
- end stage renal disease
- finite element
- newly diagnosed
- ejection fraction
- chronic kidney disease
- chronic pain
- postmenopausal women
- peritoneal dialysis
- prognostic factors
- neuropathic pain
- spinal cord
- body composition
- atrial fibrillation
- acute coronary syndrome
- patient reported outcomes