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Total knee arthroplasty with distal femoral replacement is associated with an important complication rate: A case series

The Knee Aug 20, 2019

Angers-Goulet M, et al. - Through a retrospective series of 19 patients who underwent a distal femoral replacement (DFR) for a non-oncologic indication between 2010 and 2017, researchers intended to determine whether TKA with distal femoral replacement was correlated with a significant complication rate. The mean Knee Society Score was good and fair for the pain score and the function score, respectively. With mobile parts exchange and debridement, four deep infections were successfully treated. Three patients presented femoral osteolysis ≥ 5 years following the DFR. Survivorship for aseptic loosening was 100%, 81.8% and, 53.3% at four years, following five years, and eight years later. Hence, for individuals with a severe bone loss and poor bone quality in the distal femur, TKA with DFR was concluded as a valuable choice. Moreover, DFR restores an acceptable quality of life but was associated with a significant complication rate.
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