Megaprostheses in the management of trauma of the knee

Evans, Scott; Laugharne, Edward; Kotecha, Amit; Hadley, Laura; Ramasamy, Arul; Jeys, Lee

doi:10.1016/j.jor.2015.10.024

Cited by 16 publications

(9 citation statements)

References 30 publications

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“…Originally designed to treat oncological bone loss, the megaprosthesis is now generally used to reconstruct large skeletal defects. However, the indications for this device have expanded to include complex trauma, multiply failed osteosynthesis, and infection [4,5]. Systemic antibiotics are often insufficient to treat implant-related infection effectively.…”

Section: Discussionmentioning

confidence: 99%

Infected Gustilo IIIB open knee joint fracture treated with an antimicrobial iodine-supported megaprosthesis: A case report

Osawa

Fukui

et al. 2023

Journal of Orthopaedic Science

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Section: Discussionmentioning

confidence: 99%

Infected Gustilo IIIB open knee joint fracture treated with an antimicrobial iodine-supported megaprosthesis: A case report

Osawa

Fukui

et al. 2023

Journal of Orthopaedic Science

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“…However, we would like to point out the importance of having a team of experienced surgeons, accustomed to using this type of implant and to filling large segmental defects (for example in oncological orthopedic surgery) (Fig. 2) 42 .…”

Section: Discussionmentioning

confidence: 99%

Current evidence and new challenges in periprosthetic hip and knee fractures

et al. 2021

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“…According to literature, the incidence of failure is mostly at 48–72 month post implantation [ 13 ]. Evans et al also reported after three years of follow up no patient, from total of 10 patients, had prosthetic failure [ 14 ]. Longer survival was reported by Biau et al where median of mega prosthesis survival rate was up to 130 months following femoral resection and 117 months following median resection [ 4 ].…”

Section: Discussionmentioning

confidence: 99%

A modified technique of mega prosthesis revision on non-neoplastic patient: Case report

Prabowo

Ramang

Farqani

et al. 2020

Annals of Medicine and Surgery

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Introduction Mega prosthesis is mainly used for the treatment of the oncologic patient whose limb underwent salvage surgery that caused the limb to lose significant bone or soft tissue. In recent years, mega prosthesis can also be used to treat non-oncologic patients. Presentation of case We presented a case of a 40-year-old male with chief complain of pain on the right knee 5 months before admission. Four years previously, the patient sustained motor vehicle accident that fractured his head of femur dan distal femur. He underwent 2-staged surgery for his femoral head and distal femur. However, he presented a year later with signs of non-union and finally underwent mega prosthesis surgery on his distal femur. During his follow up, he experienced a fracture on his prosthesis 3 years later and was referred to our institution. Physical examination shows deformity and slight varus on the right knee, and limited range of motion. The patient then underwent implant revisions. Discussion After 12 months of post revision surgery follow-up, the patient was able to walk independently . Our patient has not had any sign or episode of failure after the follow up for 12 months. According to literature, the incidence of failure is mostly at 48–72 months post implantation. Conclusion The problem for this patient maybe caused by the mechanical fatigue of the implant due to stress addressed to the implant. Our current technique of revisions procedure hopefully will enhance the power of the mega prosthesis for further usage.

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Megaprostheses in the management of trauma of the knee

Abstract: Conclusion:A megaprosthesis is a viable option in complex fractures around the knee.Crown

Cited by 16 publications

References 30 publications

Infected Gustilo IIIB open knee joint fracture treated with an antimicrobial iodine-supported megaprosthesis: A case report

Infected Gustilo IIIB open knee joint fracture treated with an antimicrobial iodine-supported megaprosthesis: A case report

Current evidence and new challenges in periprosthetic hip and knee fractures

A modified technique of mega prosthesis revision on non-neoplastic patient: Case report

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