Skip to main content
SpringerLink
Log in

Total Femoral Replacement (TFR)

  • Chapter
  • First Online:
The Adult Hip - Master Case Series and Techniques

  • 1013 Accesses

Abstract

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].

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution

Institutional subscriptions

References

  1. Sewell MD, Spiegelberg BG, Hanna SA, Aston WJ, Bartlett W, Blunn GW, David LA, Cannon SR, Briggs TW. Total femoral endoprosthetic replacement following excision of bone tumors. J Bone Joint Surg Br. 2009;91:1513–20.

    Article  CAS  PubMed  Google Scholar 

  2. Berend KR, Lombardi AV, Mallory TH, Adams JB, Dodds KL. Total femoral arthroplasty for salvage of end-stage prosthetic disease. Clin Orthop Relat Res. 2004;427:162–70.

    Article  Google Scholar 

  3. Ramanathan D, Siqueira MBP, Klika AK, Higuera CA, Barsoum WK, Joyce MJ. Current concepts in total femoral replacement. World J Orthop. 2015;6(11):919–26.

    Article  PubMed  PubMed Central  Google Scholar 

  4. Fountain JR, Dalby-Ball J, Carroll FA, Stockley I. The use of total femoral arthroplasty as a limb salvage procedure: the Sheffield experience. J Arthroplasty. 2007;22:663–9.

    Article  PubMed  Google Scholar 

  5. Sherman SL, Cunneen KP, Walcott-Sapp S, Brause B, Westrich GH. Custom total femur spacer and second-stage total femur arthroplasty as a novel approach to infection and periprosthetic fracture. J Arthroplasty. 2008;23:781–6.

    Article  PubMed  Google Scholar 

  6. Clement ND, MacDonald D, Ahmed I, Patton JT, Howie CR. Total femoral replacement for salvage of periprosthetic fractures. Orthopedics. 2014;37:e789–95.

    Article  PubMed  Google Scholar 

  7. Lombardi AV, Berend KR. The shattered femur: radical solution options. J Arthroplasty. 2006;21:107–11.

    Article  PubMed  Google Scholar 

  8. Ashworth A, Klein AA. Cell salvage as part of a blood conservation strategy in anesthesia. Br J Anaesth. 2010;105:401–16.

    Article  CAS  PubMed  Google Scholar 

  9. Kaibori M, Matsui K, Ishizaki M, Sakaguchi T, Matsushima H, Matsui Y, Kwon AH. A prospective randomized controlled trial of hemostasis with a bipolar sealer during hepatic transection for liver resection. Surgery. 2013;154:1046–52.

    Article  PubMed  Google Scholar 

  10. Nerubay J, Katznelson A, Tichler T, Rubinstein Z, Morag B, Bubis JJ. Total femoral replacement. Clin Orthop Relat Res. 1988;229:143–8.

    Google Scholar 

  11. Amanatullah DF, Trousdale RT, Hanssen AD, Lewallen DG, Taunton MJ. Non-oncologic total femoral arthroplasty: retrospective review. J Arthroplasty. 2014;29:2013–5.

    Article  PubMed  Google Scholar 

  12. Hwang JS, Beebe KS, Patterson FR, Benevenia J. Infected total femoral replacements: evaluation of limb loss risk factors. Orthopedics. 2011;34:e736–40.

    PubMed  Google Scholar 

  13. Friesecke C, Plutat J, Block A. Revision arthroplasty with use of a total femur prosthesis. J Bone Joint Surg Am. 2005;87:2693–701.

    Article  CAS  PubMed  Google Scholar 

  14. Mankin HJ, Hornicek FJ, Harris M. Total femur replacement procedures in tumor treatment. Clin Orthop Relat Res. 2005;438:60–4.

    Article  PubMed  Google Scholar 

  15. Steinbrink K, Engelbrecht E, Fenelon GC. The total femoral prosthesis. A preliminary report. J Bone Joint Surg Br. 1982;64:305–12.

    Article  CAS  PubMed  Google Scholar 

  16. Ward WG, Dorey F, Eckardt JJ. Total femoral endoprosthetic reconstruction. Clin Orthop Relat Res. 1995;316:195–2.

    Google Scholar 

  17. McLean AL, Patton JT, Moran M. Femoral replacement for salvage of periprosthetic fracture around a total hip replacement. Injury. 2012;43(7):1166–9. doi:10.1016/j.injury.2012.03.024. Epub 2012 Apr 27

    Article  PubMed  Google Scholar 

  18. Sheth NP, Melnic CM, Rozell JC, Paprosky WG. Management of severe femoral bone loss in revision total hip arthroplasty. Orthop Clin North Am. 2015;46(3):329–42, ix. doi:10.1016/j.ocl.2015.02.002. Epub 2015 Apr 11

    Article  PubMed  Google Scholar 

  19. Bianchi L, Galante C, Zagra L. The management of femoral bone stock in THA revision: indications and techniques. Hip Int. 2014;24(Suppl 10):S37–43. doi:10.5301/hipint.5000174.

    Article  PubMed  Google Scholar 

  20. Mayle RE Jr, Paprosky WG. Massive bone loss: allograft-prosthetic composites and beyond. J Bone Joint Surg Br. 2012;94(11 Suppl A):61–4. doi:10.1302/0301-620X.94B11.30791.

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Academic Orthopaedic Unit, Aristotle University Medical School, Thessaloniki, Greece

    Eustathios Kenanidis M.D., Ph.D., M.Sc.

  2. Papageorgiou General Hospital, Pavlos Melas, Greece

    Eleftherios Tsiridis M.D., Ph.D., F.A.C.S., F.R.C.S.

  3. Aristotle University Medical School, Thessaloniki, Greece

    Eleftherios Tsiridis M.D., Ph.D., F.A.C.S., F.R.C.S.

  4. Joint Implant Surgeons, Inc., New Albany, OH, USA

    Adolph V. Lombardi Jr M.D., F.A.C.S. & Andrew B. Richardson M.D.

  5. Department of Orthopaedics, The Ohio State University Wexner Medical Center, Columbus, OH, USA

    Adolph V. Lombardi Jr M.D., F.A.C.S.

  6. Mount Carmel Health System, Columbus, OH, USA

    Adolph V. Lombardi Jr M.D., F.A.C.S.

  7. Department of Traumatology and Reconstructive Surgery, Charité Universitätsmedizin Berlin, Berlin, Germany

    Michael Müller P.D., Dr.

Authors
  1. Eustathios Kenanidis M.D., Ph.D., M.Sc.
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Eleftherios Tsiridis M.D., Ph.D., F.A.C.S., F.R.C.S.
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Adolph V. Lombardi Jr M.D., F.A.C.S.
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Andrew B. Richardson M.D.
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. Michael Müller P.D., Dr.
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding authors

Correspondence to Eustathios Kenanidis M.D., Ph.D., M.Sc. , Eleftherios Tsiridis M.D., Ph.D., F.A.C.S., F.R.C.S. , Adolph V. Lombardi Jr M.D., F.A.C.S. or Michael Müller .

Editor information

Editors and Affiliations

  1. Aristotle University Medical School, Thessaloniki, Greece

    Eleftherios Tsiridis

Rights and permissions

Reprints and permissions

Copyright information

© 2018 Springer International Publishing AG, part of Springer Nature

About this chapter

Cite this chapter

Kenanidis, E., Tsiridis, E., Lombardi, A.V., Richardson, A.B., Müller, M. (2018). Total Femoral Replacement (TFR). In: Tsiridis, E. (eds) The Adult Hip - Master Case Series and Techniques. Springer, Cham. https://doi.org/10.1007/978-3-319-64177-5_37

Download citation

  • DOI: https://doi.org/10.1007/978-3-319-64177-5_37

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-64175-1

  • Online ISBN: 978-3-319-64177-5

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics

Search

Navigation