Distal femoral replacement for knee trauma yielded positive clinical, functional outcomes
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Results presented at the Virtual EFORT Congress showed patients with distal femoral fractures experienced low mortality and reoperation rates, high implant survivorship and acceptable functional outcomes after distal femoral replacement.
Loukas Andritsos and colleagues retrospectively reviewed length of stay, range of motion, postoperative Oxford Knee Score, infection and radiographic changes among 22 patients who underwent distal femoral replacement for either complex distal femoral fractures in the native knee or periprosthetic fracture around a total knee replacement.
In his presentation, Andritsos noted 18 patients had a well-fixed stem on radiographic outcomes. Patients had an average knee range of motion of 0° to 100°, according to Andritsos. He added most patients had moderate to no problems with the prosthesis in terms of mobility self-care and daily activities.
“[Patients] had slight or no anxiety and depression, and the majority answered moderate to no pain postoperatively,” Andritsos said.
He noted patients had an average Oxford Knee Score of 28 out of 48.
“In terms of our complications, we had three mortalities, three deep-seated infections and, for the latter, two patients underwent further surgery, one had the [debridement, antibiotics and implant retention] DAIR procedure and one had the two-stage revision,” Andritsos said.
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Andritsos L, et al. Paper 641. Presented at: Virtual EFORT Congress; Oct. 28-30, 2020.
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