Non-oncologic total femoral arthroplasty: retrospective review.


Total femoral arthroplasty (TFA) is an option to amputation in the setting of excessive bones loss during revision total hip and knee arthroplasty. Twenty non-oncologic TFAs with a minimum of 2years follow-up were retrospectively reviewed. The average clinical follow-up was 73±49months. The incidence of new infection was 25% (5/20), while the overall infection rate was 35% (7/20). The incidence of primary hip instability was 10% (2/20), while the overall instability rate was 25% (5/20). Six patients (30%) required revision. The average pre-operative HHS was 30.2±13.1. The average post-operative HHS was 65.3±16.9. TFA is a viable alternative to amputation in non-oncologic patients with massive femoral bone deficiency. However, TFA performed poorly in the setting of infection and instability.

DOI: 10.1016/j.arth.2014.05.012

Cite this paper

@article{Amanatullah2014NononcologicTF, title={Non-oncologic total femoral arthroplasty: retrospective review.}, author={Derek F. Amanatullah and Robert T. Trousdale and Arlen D. Hanssen and David G . Lewallen and Michael J. Taunton}, journal={The Journal of arthroplasty}, year={2014}, volume={29 10}, pages={2013-5} }