Proximal femoral replacement for non-neoplastic conditions: a systematic review on current outcomes

Autor: Alberto Di Martino, Davide Pederiva, Barbara Bordini, Gabriele Di Carlo, Alessandro Panciera, Giuseppe Geraci, Niccolò Stefanini, Cesare Faldini
Přispěvatelé: Di Martino, Alberto, Pederiva, Davide, Bordini, Barbara, Di Carlo, Gabriele, Panciera, Alessandro, Geraci, Giuseppe, Stefanini, Niccolò, Faldini, Cesare
Rok vydání: 2022
Předmět:
Zdroj: Journal of Orthopaedics and Traumatology. 23
ISSN: 1590-9999
1590-9921
DOI: 10.1186/s10195-022-00632-z
Popis: 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.
Databáze: OpenAIRE
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