Stevens Jarrad M, Clement Nick D, Beckingsale Tom, Patton James T
Department of Surgery, St Vincent's Hospital Melbourne, VIC 3065, Australia.
Department of Surgery, Royal Infirmary Edinburgh, Edinburgh EH16 4SA, Scotland.
JRSM Open. 2020 Dec 24;11(11):2054270420970725. doi: 10.1177/2054270420970725. eCollection 2020 Nov.
In this paper, we describe the outcome of bilateral distal femoral endoprosthesis for the management of acute severe trauma. We also review the literature to ascertain the published functional results of distal femoral endoprosthesis for acute trauma of native knees. In severely comminuted intra-articular fractures, such as those our patient sustained, reconstruction is not always possible, and predictable outcomes can rarely be assured with conviction. Endoprosthesis is an established treatment modality for replacement after resection in limb salvage surgery. In this regard, there is a limited but vital role that endoprosthesis can play in acute complex trauma. We demonstrate a good short-term outcome when bilateral endoprostheses are utilised for complex distal femur trauma.
在本文中，我们描述了双侧股骨远端假体治疗急性严重创伤的结果。我们还回顾了文献，以确定已发表的关于股骨远端假体治疗原生膝关节急性创伤的功能结果。在严重粉碎性关节内骨折中，比如我们的患者所遭受的骨折，重建并不总是可行的，而且很少能确定地保证可预测的结果。假体是肢体挽救手术中切除后进行置换的一种既定治疗方式。在这方面，假体在急性复杂创伤中可发挥的作用有限但至关重要。我们证明，当双侧假体用于复杂的股骨远端创伤时，可获得良好的短期结果。
