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Authors of section

Executive editor

Michael Baumgaertner


Michael Huo, Michael Leslie, Iain McFadyen

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Total femur replacement

1. Principles

Indications for using the total femur prosthesis include:

  • Nonunion of previous fracture
  • Insufficient femoral diaphyseal bone
  • Associated failure of ipsilateral hip replacement with periprosthetic fracture

It is important to achieve stability of both the hip joint and the knee joint, as well as reestablishing symmetrical leg length and rotation.

2. Surgical technique

The detailed description of this complex surgical technique is beyond the scope of the AO Surgery Reference.

This type of operation is most often performed by experienced orthopedic oncologists, or those surgeons with extensive and high-volume revision total joint arthroplasty experience.

Total femur replacement