TOTAL KNEE REPLACEMENT INCLUDING A MODULAR DISTAL FEMORAL COMPONENT IN ELDERLY PATIENTS WITH ACUTE FRACTURE OR NONUNION

被引：37
作者：
FREEDMAN, EL [1 ]
HAK, DJ [1 ]
JOHNSON, EE [1 ]
ECKARDT, JJ [1 ]
机构：
[1] UNIV CALIF LOS ANGELES,MED CTR,DEPT ORTHOPAED SURG,LOS ANGELES,CA 90024
来源：
JOURNAL OF ORTHOPAEDIC TRAUMA | 1995年 / 9卷 / 03期
关键词：
TOTAL KNEE REPLACEMENT; DISTAL FEMORAL REPLACEMENT; DISTAL FEMORAL NONUNION; DISTAL FEMORAL FRACTURE; GONARTHROSIS;
D O I：
10.1097/00005131-199506000-00009
中图分类号：
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];
学科分类号：
摘要：
Distal femoral fracture or nonunion in elderly patients with osteopenic bone and coexisting gonarthrosis poses a difficult treatment challenge. Open reduction and internal fixation with or without the use of bone cement may not provide sufficient stabilization, requires a prolonged period of weightbearing restrictions, and does not address preexisting knee arthrosis. We report five patients, three with distal femoral nonunion, two with acute distal femoral fracture, and all with concomitant gonarthrosis treated with total knee replacement including a modular distal femoral component [distal femoral replacement (DFR)]. In this group of patients, modular DFR provided immediate pain relief and allowed early weightbearing and aggressive rehabilitation. We recommend this treatment modality in selected osteopenic elderly patients with difficult distal femoral reconstructive problems and coexisting gonarthrosis.
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页码：231 / 237
页数：7
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