Abstract
ObjectiveReview the outcome of patients with complex fractures around the knee treated with megaprosthesis. MethodRetrospective observational study of 10 patients was undertaken. ResultsSix 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)). ConclusionA megaprosthesis is a viable option in complex fractures around the knee.
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