ArticleInternational orthopaedics2020
Megaprosthesis in distal femur nonunions in elderly patients-experience from twenty four cases.
Article in International orthopaedics, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.
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16 citing papers in PubMed, 1 synthesis or guideline pooled it, 28 citations in OpenAlex.
- Cost-effectiveness of fixation versus arthroplasty for geriatric distal femur fractures.Injury · 2022Pooled it
- Megaprosthetic Total Knee Arthroplasty for Supracondylar Refracture in a Post-traumatic Osteoarthritic Knee: A Case Report.Journal of orthopaedic case reports · 2026Article
- Primary Versus Salvage Distal Femoral Endoprosthetic Replacement Following Native Distal Femur Fracture: A Systematic Review and Meta-Analysis.Arthroplasty today · 2026Article
- Management of Distal Femoral Non-union: A Systematic Review.Indian journal of orthopaedics · 2024Review
- Characteristics and Epidemiology of Megaprostheses Infections: A Systematic Review.Healthcare (Basel, Switzerland) · 2024Review
- Megaprosthetic replacement in complex distal humerus fractures in elderly patients: a case series.Journal of orthopaedic surgery and research · 2024Article
- Modified use of the proximal humeral internal locking system (PHILOS) plate for distal femoral nonunions.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2023Article
- Treatment of Simultaneous Femoral Supracondylar Nonunion and Tibial Plateau Malunion along with Stiff Knee in a Young Patient: A Case Report.The archives of bone and joint surgery · 2023Article
- Patient safety in distal femoral resection knee arthroplasty for non-tumor indications: a single-center consecutive cohort study of 45 patients.BMC musculoskeletal disorders · 2022Article
- Jig-assisted modified Harrington reconstruction for metastatic bone destruction of the acetabulum.International orthopaedics · 2022Article
- Updates in postoperative imaging modalities following musculoskeletal surgery.Journal of clinical orthopaedics and trauma · 2021Review
- Distal Femur Tumor Megaprosthesis for Non-union of Supracondylar Femur Fracture after Failed Osteosynthesis. An Ingenious Solution.Journal of orthopaedic case reports · 2021Article
- Reply to "Megaprosthesis in distal femur nonunions in elderly patients-experience from twenty-four cases: a letter to editor".International orthopaedics · 2020Article
- Megaprosthesis in distal femur non-unions in elderly patients-experience from twenty-four cases: a letter to editor.International orthopaedics · 2020Article
- Indian orthopaedics: the past, present, and future.International orthopaedics · 2020Article
- Outcomes of knee arthroplasty for primary treatment of pathologic peri-articular fractures of the distal femur and proximal tibia.International orthopaedics · 2020Article
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Authors and funding
5 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purpose of the studyTo evaluate the outcomes and complications using cemented megaprosthesis in elderly patients with distal femur nonunions (DFN). MATERIALS AND
methodsBetween 2012 and 2016, 24 patients of DFN with an average age of 71.8 years (66-83) and an average 1.9(1-3) prior surgery was managed with distal femur replacement using cemented modular endoprosthesis. Outcomes were analysed on the following criteria: implant status, complications, knee range of motion, Knee Society Score (KSS) and Musculoskeletal Tumor Society (MSTS) score.
resultsAll patients were extremely satisfied with their outcomes. At an average 22.1 months (10-43) follow-up, patients had an average 69.5° (40°-110°) knee flexion, an average KSS of 75.7 (63-88) and an average MSTS score of 19.3 (17-25). Four patients died at an average 21.3 months after surgery due to causes unrelated to the fracture. One patient (4.1%) had implant-related complication; deep infection which required debridement and intravenous antibiotics. There were no late amputations or peri-operative deaths and no patient had aseptic loosening of components.
conclusionBy permitting immediate full weight-bearing ambulation and with most patients returning to an acceptable functional status, cemented megaprosthesis is a viable and useful single-stage management option in elderly patients with DFN.
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