Megaprostheses in the management of trauma of the knee

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• 作者：Scott Evans ; ^{scottevans@nhs.net" class="auth_mail" title="E-mail the corresponding author} ; Edward Laugharne ; Amit Kotecha ; Laura Hadley ; Arul Ramasamy ; Lee Jeys
• 关键词：Complex ; Knee ; Trauma ; Megaprosthesis
• 刊名：Journal of Orthopaedics
• 出版年：2016
• 出版时间：December 2016
• 年：2016
• 卷：13
• 期：4
• 页码：467-471
• 全文大小：1033 K

文摘

Review the outcome of patients with complex fractures around the knee treated with megaprosthesis.

Method

Retrospective observational study of 10 patients was undertaken.

Results

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 (p = 0.038), peri-prosthetic fracture group was 46.3, compared with 75.6 in native knee fracture group (p = 0.04)).

Conclusion

A megaprosthesis is a viable option in complex fractures around the knee.