Total Femoral Replacement (TFR)

  • Eustathios KenanidisEmail author
  • Eleftherios TsiridisEmail author
  • Adolph V. LombardiJr
  • Andrew B. Richardson
  • Michael Müller


TFR is an established treatment method in oncologic reconstruction [1]. Apart from this TFR has also been used in the non-oncologic setting as a salvage option for the management of extensive femoral bone loss in revision THA [2]. When TFR is performed in specialized centers, TFR can restore femoral integrity, control pain, and allow patients to resume ambulation, albeit at a compromised level; this is considered to be superior to the alternative, which is amputation or hip disarticulation. Careful patient selection, excellent surgical technique, a comprehensive rehabilitation program, and the prompt management of postoperative complications are essential to ensure optimal long-term outcomes in this challenging patient population [3].


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Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  • Eustathios Kenanidis
    • 1
    Email author
  • Eleftherios Tsiridis
    • 2
    • 3
    Email author
  • Adolph V. LombardiJr
    • 4
    • 5
    • 6
  • Andrew B. Richardson
    • 4
  • Michael Müller
    • 7
  1. 1.Academic Orthopaedic UnitAristotle University Medical SchoolThessalonikiGreece
  2. 2.Papageorgiou General HospitalPavlos MelasGreece
  3. 3.Aristotle University Medical SchoolThessalonikiGreece
  4. 4.Joint Implant Surgeons, Inc.New AlbanyUSA
  5. 5.Department of OrthopaedicsThe Ohio State University Wexner Medical CenterColumbusUSA
  6. 6.Mount Carmel Health SystemColumbusUSA
  7. 7.Department of Traumatology and Reconstructive SurgeryCharité Universitätsmedizin BerlinBerlinGermany

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