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Subtotal diaphyseal replacement of the femur with modular mega-endoprosthesis following interprosthetic fracture. A case report

GMS. Interdisciplinary plastic and reconstructive surgery DGPW, 2024-02, Vol.13, p.Doc01 [Peer Reviewed Journal]

Copyright © 2024 Ghanem et al. ;Copyright © 2024 Ghanem et al. 2024 ;ISSN: 2193-8091 ;EISSN: 2193-8091 ;DOI: 10.3205/iprs000183 ;PMID: 38544815

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  • Title:
    Subtotal diaphyseal replacement of the femur with modular mega-endoprosthesis following interprosthetic fracture. A case report
  • Author: Ghanem, Mohamed ; Pempe, Christina ; Roth, Andreas
  • Is Part Of: GMS. Interdisciplinary plastic and reconstructive surgery DGPW, 2024-02, Vol.13, p.Doc01
  • Description: Mega-endoprostheses enable wide management options in the treatment of primary and periprosthetic fracture of the lower extremities. In this study, we report on the use of custom-made subtotal diaphyseal endoprosthetic replacement in treatment of interprosthetic femoral fracture. This procedure is off-label, but in this particular case, it was the safest and most stress-stable treatment option. The implant was delivered within three weeks. The surgical procedure for subtotal replacement of the femoral diaphysis was performed without any intra- or postoperative complication. The duration for the surgical intervention was one hour and 40 minutes. The patient was then mobilized with full weight bearing. At one-year follow-up, the patient did not complain of any pain. The Harris Hip Score HHS improved from 26 to 83 at one-year follow-up, the Western Ontario and McMaster Universities Osteoarthritis Index WOMAC improved from 88 to 16. Mega-endoprostheses enable a wide range of management options in the treatment of primary, peri- and interprosthetic fractures of the lower extremities. In many cases, an individual therapeutic plan is necessary ranging up to the use of custom-made implants.
  • Publisher: Germany: German Medical Science GMS Publishing House
  • Language: English;German
  • Identifier: ISSN: 2193-8091
    EISSN: 2193-8091
    DOI: 10.3205/iprs000183
    PMID: 38544815
  • Source: PubMed Central
    DOAJ Directory of Open Access Journals
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