Megaprostheses in the management of trauma of the knee.
retrospective_cohort · Level III
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- Record sourced from PubMed, PMID 27857483.
- Also identified by PMC identifier 5103044.
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Abstract
Review the outcome of patients with complex fractures around the knee treated with megaprosthesis. Retrospective observational study of 10 patients was undertaken. Six patients were treated with a distal femoral endoprosthesis (DEFPR) and four with an augmented rotating hinge knee replacement (RHK). The mean post-operative Toronto Extremity Salvage Score (TESS) was 62.5 for the whole cohort (RHK group 79.3, compared with 49.2 in the DFEPR group (<i>p</i> = 0.038), peri-prosthetic fracture group was 46.3, compared with 75.6 in native knee fracture group (<i>p</i> = 0.04)). A megaprosthesis is a viable option in complex fractures around the knee.
Anatomy
- knee