Herren, C., Ringe, M. J., Rietkoetter, U., Sobottke, R., Siewe, J. and Graf, M. (2014). Special prosthesis implant with partial femoral replacement. Operation after periprosthetic femoral fracture and ipsilateral long-stem knee prosthesis and fixed-angle osteosynthesis. Unfallchirurg, 117 (8). S. 740 - 747. NEW YORK: SPRINGER. ISSN 1433-044X

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Abstract

The development of modular prostheses is becoming increasingly important in revision surgery due to the rising need of arthroplasty in knee and hip joints. The demand for suitable prostheses is high because of the desire for a higher mobility and a good postoperative functionality, whereby preliminary experience with megaprostheses using modular implant systems in orthopedic oncology have already been obtained. Considering the clinical outcome of our 58-year-old patient (obesity III, BMI 58) and the third revision operation after two periprosthetic fractures, a megaprosthesis was implanted (Mega C-system, co. Link, Hamburg). We aimed both at good clinical functionality and good stability of the knee joint. After the implant, a good functional result was observed at the beginning; however, there were some indices for prosthesis loosening. During the fourth revision we implanted a total femoral replacement. Postoperatively, a good clinical outcome after intensive physiotherapy was observed. Nevertheless, the use of megaprostheses has to be judged cautiously because of a lack of long-term results. In addition, it should not be used as a standard implant in periprosthetic joint surgery because of the risk of aseptic loosening during its course.

Item Type: Journal Article
Creators:
CreatorsEmailORCIDORCID Put Code
Herren, C.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Ringe, M. J.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Rietkoetter, U.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Sobottke, R.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Siewe, J.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Graf, M.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
URN: urn:nbn:de:hbz:38-432691
DOI: 10.1007/s00113-014-2623-2
Journal or Publication Title: Unfallchirurg
Volume: 117
Number: 8
Page Range: S. 740 - 747
Date: 2014
Publisher: SPRINGER
Place of Publication: NEW YORK
ISSN: 1433-044X
Language: German
Faculty: Unspecified
Divisions: Unspecified
Subjects: no entry
Uncontrolled Keywords:
KeywordsLanguage
ROTATING-HINGE; SALVAGEMultiple languages
Emergency Medicine; SurgeryMultiple languages
URI: http://kups.ub.uni-koeln.de/id/eprint/43269

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