Non-Oncologic Total Femoral Arthroplasty: Retrospective Review

Derek F. Amanatullah; Robert T. Trousdale; Arlen D. Hanssen; David G. Lewallen; Michael J. Taunton

doi:10.1016/j.arth.2014.05.012

Non-Oncologic Total Femoral Arthroplasty: Retrospective Review

Derek F. Amanatullah, Robert T. Trousdale, Arlen D. Hanssen, David G. Lewallen, Michael J. Taunton

Orthopedic Surgery

Research output: Contribution to journal › Article › peer-review

18 Scopus citations

Abstract

Total femoral arthroplasty (TFA) is an option to amputation in the setting of excessive bones loss during revision total hip and knee arthroplasty. Twenty non-oncologic TFAs with a minimum of 2. years follow-up were retrospectively reviewed. The average clinical follow-up was 73. ±. 49. months. The incidence of new infection was 25% (5/20), while the overall infection rate was 35% (7/20). The incidence of primary hip instability was 10% (2/20), while the overall instability rate was 25% (5/20). Six patients (30%) required revision. The average pre-operative HHS was 30.2. ±. 13.1. The average post-operative HHS was 65.3. ±. 16.9. TFA is a viable alternative to amputation in non-oncologic patients with massive femoral bone deficiency. However, TFA performed poorly in the setting of infection and instability.

Original language	English (US)
Pages (from-to)	2013-2015
Number of pages	3
Journal	Journal of Arthroplasty
Volume	29
Issue number	10
DOIs	https://doi.org/10.1016/j.arth.2014.05.012
State	Published - Oct 1 2014

Keywords

Above knee amputation
Compromised bone stock
Hip disarticulation
TFA
Total femoral arthroplasty

ASJC Scopus subject areas

Orthopedics and Sports Medicine

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10.1016/j.arth.2014.05.012

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title = "Non-Oncologic Total Femoral Arthroplasty: Retrospective Review",

abstract = "Total femoral arthroplasty (TFA) is an option to amputation in the setting of excessive bones loss during revision total hip and knee arthroplasty. Twenty non-oncologic TFAs with a minimum of 2. years follow-up were retrospectively reviewed. The average clinical follow-up was 73. ±. 49. months. The incidence of new infection was 25% (5/20), while the overall infection rate was 35% (7/20). The incidence of primary hip instability was 10% (2/20), while the overall instability rate was 25% (5/20). Six patients (30%) required revision. The average pre-operative HHS was 30.2. ±. 13.1. The average post-operative HHS was 65.3. ±. 16.9. TFA is a viable alternative to amputation in non-oncologic patients with massive femoral bone deficiency. However, TFA performed poorly in the setting of infection and instability.",

keywords = "Above knee amputation, Compromised bone stock, Hip disarticulation, TFA, Total femoral arthroplasty",

author = "Amanatullah, {Derek F.} and Trousdale, {Robert T.} and Hanssen, {Arlen D.} and Lewallen, {David G.} and Taunton, {Michael J.}",

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AU - Amanatullah, Derek F.

AU - Trousdale, Robert T.

AU - Hanssen, Arlen D.

AU - Lewallen, David G.

AU - Taunton, Michael J.

PY - 2014/10/1

Y1 - 2014/10/1

N2 - Total femoral arthroplasty (TFA) is an option to amputation in the setting of excessive bones loss during revision total hip and knee arthroplasty. Twenty non-oncologic TFAs with a minimum of 2. years follow-up were retrospectively reviewed. The average clinical follow-up was 73. ±. 49. months. The incidence of new infection was 25% (5/20), while the overall infection rate was 35% (7/20). The incidence of primary hip instability was 10% (2/20), while the overall instability rate was 25% (5/20). Six patients (30%) required revision. The average pre-operative HHS was 30.2. ±. 13.1. The average post-operative HHS was 65.3. ±. 16.9. TFA is a viable alternative to amputation in non-oncologic patients with massive femoral bone deficiency. However, TFA performed poorly in the setting of infection and instability.

AB - Total femoral arthroplasty (TFA) is an option to amputation in the setting of excessive bones loss during revision total hip and knee arthroplasty. Twenty non-oncologic TFAs with a minimum of 2. years follow-up were retrospectively reviewed. The average clinical follow-up was 73. ±. 49. months. The incidence of new infection was 25% (5/20), while the overall infection rate was 35% (7/20). The incidence of primary hip instability was 10% (2/20), while the overall instability rate was 25% (5/20). Six patients (30%) required revision. The average pre-operative HHS was 30.2. ±. 13.1. The average post-operative HHS was 65.3. ±. 16.9. TFA is a viable alternative to amputation in non-oncologic patients with massive femoral bone deficiency. However, TFA performed poorly in the setting of infection and instability.

KW - Above knee amputation

KW - Compromised bone stock

KW - Hip disarticulation

KW - TFA

KW - Total femoral arthroplasty

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Non-Oncologic Total Femoral Arthroplasty: Retrospective Review

Abstract

Keywords

ASJC Scopus subject areas

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