Modular Total Femur Replacement for Staged Total Femur Replacement
As the numbers of arthroplasties performed worldwide increase, so do complications such as prosthetic joint infection. Cases that require a two-stage revision of a total femur replacement in the femur pose an ongoing challenge to the modern orthopedic surgeon. Unlike antibiotic spacers in hip and kn...
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2021
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oai:doaj.org-article:4c249520da3945258ca29d14ca02d0cc2021-11-14T04:33:57ZModular Total Femur Replacement for Staged Total Femur Replacement2352-344110.1016/j.artd.2021.08.006https://doaj.org/article/4c249520da3945258ca29d14ca02d0cc2021-10-01T00:00:00Zhttp://www.sciencedirect.com/science/article/pii/S2352344121001400https://doaj.org/toc/2352-3441As the numbers of arthroplasties performed worldwide increase, so do complications such as prosthetic joint infection. Cases that require a two-stage revision of a total femur replacement in the femur pose an ongoing challenge to the modern orthopedic surgeon. Unlike antibiotic spacers in hip and knee arthroplasty, there lacks a commercially available cement spacer for use in total femur replacements. We describe a novel technique for the intraoperative fabrication of a total femur spacer which uses modular components. As such, our technique is unique as it is modular and, therefore, highly customisable to each individual patient. Individual components can be made by different members of the team simultaneously and then assembled to make the final construct, thereby minimizing operative time. Furthermore, the inherent stability of the spacer allows immediate partial weightbearing and functional rehabilitation while patients are waiting for their second-stage procedure.Tat Woon Chao, MBBS, PGDipSurgAnatYi Deng, MChD, BBiomedScVarsha Sivalingam, MD, MScD. Ashley R. Watson, MBBS, MPH, GradCertEd, FRACPAlexander W.R. Burns, MBBS, FRACS, FAOrthAElsevierarticleRevision hip replacementRevision knee replacementTotal femur replacementCement spacerProsthetic joint infectionOrthopedic surgeryRD701-811ENArthroplasty Today, Vol 11, Iss , Pp 163-167 (2021) |
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Revision hip replacement Revision knee replacement Total femur replacement Cement spacer Prosthetic joint infection Orthopedic surgery RD701-811 |
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Revision hip replacement Revision knee replacement Total femur replacement Cement spacer Prosthetic joint infection Orthopedic surgery RD701-811 Tat Woon Chao, MBBS, PGDipSurgAnat Yi Deng, MChD, BBiomedSc Varsha Sivalingam, MD, MSc D. Ashley R. Watson, MBBS, MPH, GradCertEd, FRACP Alexander W.R. Burns, MBBS, FRACS, FAOrthA Modular Total Femur Replacement for Staged Total Femur Replacement |
description |
As the numbers of arthroplasties performed worldwide increase, so do complications such as prosthetic joint infection. Cases that require a two-stage revision of a total femur replacement in the femur pose an ongoing challenge to the modern orthopedic surgeon. Unlike antibiotic spacers in hip and knee arthroplasty, there lacks a commercially available cement spacer for use in total femur replacements. We describe a novel technique for the intraoperative fabrication of a total femur spacer which uses modular components. As such, our technique is unique as it is modular and, therefore, highly customisable to each individual patient. Individual components can be made by different members of the team simultaneously and then assembled to make the final construct, thereby minimizing operative time. Furthermore, the inherent stability of the spacer allows immediate partial weightbearing and functional rehabilitation while patients are waiting for their second-stage procedure. |
format |
article |
author |
Tat Woon Chao, MBBS, PGDipSurgAnat Yi Deng, MChD, BBiomedSc Varsha Sivalingam, MD, MSc D. Ashley R. Watson, MBBS, MPH, GradCertEd, FRACP Alexander W.R. Burns, MBBS, FRACS, FAOrthA |
author_facet |
Tat Woon Chao, MBBS, PGDipSurgAnat Yi Deng, MChD, BBiomedSc Varsha Sivalingam, MD, MSc D. Ashley R. Watson, MBBS, MPH, GradCertEd, FRACP Alexander W.R. Burns, MBBS, FRACS, FAOrthA |
author_sort |
Tat Woon Chao, MBBS, PGDipSurgAnat |
title |
Modular Total Femur Replacement for Staged Total Femur Replacement |
title_short |
Modular Total Femur Replacement for Staged Total Femur Replacement |
title_full |
Modular Total Femur Replacement for Staged Total Femur Replacement |
title_fullStr |
Modular Total Femur Replacement for Staged Total Femur Replacement |
title_full_unstemmed |
Modular Total Femur Replacement for Staged Total Femur Replacement |
title_sort |
modular total femur replacement for staged total femur replacement |
publisher |
Elsevier |
publishDate |
2021 |
url |
https://doaj.org/article/4c249520da3945258ca29d14ca02d0cc |
work_keys_str_mv |
AT tatwoonchaombbspgdipsurganat modulartotalfemurreplacementforstagedtotalfemurreplacement AT yidengmchdbbiomedsc modulartotalfemurreplacementforstagedtotalfemurreplacement AT varshasivalingammdmsc modulartotalfemurreplacementforstagedtotalfemurreplacement AT dashleyrwatsonmbbsmphgradcertedfracp modulartotalfemurreplacementforstagedtotalfemurreplacement AT alexanderwrburnsmbbsfracsfaortha modulartotalfemurreplacementforstagedtotalfemurreplacement |
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