Abstract
The femoral prosthesis must be excised with its accompanying distal bone fragment. Release of this fragment from soft tissue attachments at the knee may be time consuming as this fragment can be difficult to control. There is also a significant risk of vascular or neurological injury if dissection occurs away from the bone–soft tissue interface.
Highlights
Distal femoral replacement is becoming an increasingly common procedure for patients with distal femoral fractures above a total knee arthroplasty and as revision knee arthroplasty becomes more complex.[1]
The device is routinely used for removing the femoral head during hemiarthroplasty for fractured neck of femur
Distal femoral replacement is a challenging procedure that may require extensive operative time.[2] One review of such cases found a complication rate of between 25% and 75%.3 This technique provides a simple effective solution to a potentially time consuming step of a complex operation that may help avoid significant complications
Summary
Distal femoral replacement is becoming an increasingly common procedure for patients with distal femoral fractures above a total knee arthroplasty and as revision knee arthroplasty becomes more complex.[1].
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