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Proximal femoral replacement for non-neoplastic conditions: a systematic review on current outcomes.
| Content Provider | Europe PMC |
|---|---|
| Author | Di Martino, Alberto Pederiva, Davide Bordini, Barbara Di Carlo, Gabriele Panciera, Alessandro Geraci, Giuseppe Stefanini, Niccolò Faldini, Cesare |
| Abstract | Proximal femoral replacement (PFR) is a well-established treatment for neoplasia of the proximal femur. The use of this surgical technique for non-neoplastic conditions has increased over the years. We carried out a systematic review of the literature to study the indications, complications, and functional results when PFR is used for non-neoplastic conditions. Twenty-seven studies were included in the review with a total of 828 PFRs with a mean follow-up of 50 months (range 1–225 months). The main indications were infection (28%), periprosthetic fracture (27%), aseptic loosening (22%), and fracture (16%). The rate of reoperation was 20.3% overall. The overall revision rate was 15.4%. The main complications were dislocation (10.2%) and infection (7.3%). After 2010, the rates of reoperation (25.5% versus 18.2%), loosening (9.4% versus 3.2%), and dislocation (15.7% versus 7.9%) were lower than before 2010. The 30-day mortality ranged from 0% to 9%. The hip function scores improved post-surgery. In conclusion, the use of PFR in non-neoplastic conditions remains a marginal tool, associated with low direct mortality and high complication rates, but we expect its use to increase in the near future. |
| Related Links | https://europepmc.org/backend/ptpmcrender.fcgi?accid=PMC8964877&blobtype=pdf |
| ISSN | 15909921 |
| Journal | Journal of Orthopaedics and Traumatology : Official Journal of the Italian Society of Orthopaedics and Traumatology [J Orthop Traumatol] |
| Volume Number | 23 |
| DOI | 10.1186/s10195-022-00632-z |
| PubMed Central reference number | PMC8964877 |
| Issue Number | 1 |
| PubMed reference number | 35348913 |
| e-ISSN | 15909999 |
| Language | English |
| Publisher | Springer International Publishing |
| Publisher Date | 2022-03-29 |
| Publisher Place | Gewerbestrasse 11, Cham, Ch 6330, Switzerland |
| Access Restriction | Open |
| Rights License | Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. © The Author(s) 2022 |
| Subject Keyword | Megaprosthesis Proximal femoral replacement Hip arthroplasty Revision surgery |
| Content Type | Text |
| Resource Type | Article |
| Subject | Orthopedics and Sports Medicine Surgery |
