Total Femoral Replacement as a Salvage Procedure for a Periprosthetic Fracture After Multiple Previous Femoral Reconstructions: A Case Report.
Filip Robakowski, Alicja Główka, Mateusz Pochylski
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Case in brief
A 77-year-old woman with multiple comorbidities experienced a periprosthetic fracture after 19 years of complications from previous femoral reconstructions. Initial treatment failed, leading to the implantation of a total femoral replacement (TFR) prosthesis. Despite recurrent hip dislocations managed with a dual-mobility acetabular cup, the patient regained mobility and was able to ambulate independently with a walker at 12 months postoperatively.
Diagnostic / clinical pearl
Total femoral replacement can be a viable limb-salvage option for complex periprosthetic fractures, especially in patients with a history of multiple reconstructions and poor bone quality.