Revision Distal Femoral Replacements Have a More-Than-40% Failure and Reoperation Rate

• Published in: The Journal of arthroplasty Vol. 40; no. 9; pp. S463 - S469
• Main Authors: Parikh, Nihir, Lam, Alan D., Hohmann, Alexandra L., Lowenstein, Natalie A., Warwick, Hunter, Fillingham, Yale A., Krueger, Chad A.
• Format: Journal Article
• Language: English
• Published: United States Elsevier Inc 01.09.2025
• Subjects: Adult; Aged; Aged, 80 and over; Arthroplasty, Replacement, Knee - adverse effects; Arthroplasty, Replacement, Knee - methods; DFR; distal femoral replacement; Female; Femur - surgery; Follow-Up Studies; Humans; Knee Prosthesis - adverse effects; limb salvage; Male; megaprosthesis; Middle Aged; Patient Readmission - statistics & numerical data; Prosthesis Failure - etiology; Reoperation - statistics & numerical data; Retrospective Studies; revision distal femoral replacement; revision total knee arthroplasty; DFR; limb salvage; revision total knee arthroplasty; distal femoral replacement; megaprosthesis; revision distal femoral replacement

Distal femoral replacement (DFR) is a complex reconstruction option for patients who have substantial bone loss, often following multiple failed revision total knee arthroplasties. However, 5-year survivorship after DFR is only 70 to 85%, and there is a paucity of literature evaluating outcomes foll...