Distal femoral replacement in complex total knee arthroplasty revisions

Mihir M. Thacker, Richard J. Harrison, J. David Pitcher, H. Thomas Temple, Sean P. Scully

Research output: Contribution to journalArticlepeer-review


Revision knee arthroplasty can be challenging in the face of bone loss and joint instability. Modular endoprostheses are a limb salvage option in these situations. Design changes have led to second and third generation prostheses that are significantly improved. This has resulted in part from increased freedom of rotation that decreases stresses at the cement interface. These implants serve a different clinical niche than traditional condylar components. The modular rotating hinge knee prosthesis is a useful adjunct for knee arthroplasty revision for patients with inadequate bone stock, ligamentous instability, or difficult supracondylar femur nonunions, especially in low-demand elderly patients.

Original languageEnglish (US)
Pages (from-to)9-14
Number of pages6
JournalSeminars in Arthroplasty
Issue number1
StatePublished - Mar 2006


  • Implant design
  • Modular implants
  • Revision knee arthroplasty
  • Salvage

ASJC Scopus subject areas

  • Surgery


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