Transcutaneous, Distal Femoral, Intramedullary Attachment for Above-the-Knee Prostheses: An Endo-Exo Device by Horst Heinrich Aschoff, Robert E. Kennon,

Slides:

Advertisements

Similar presentations

Reconstruction of Segmental Bone Defects Due to Chronic Osteomyelitis with Use of an External Fixator and an Intramedullary Nail by Levent Eralp, Mehmet.

Advertisements

Long-Term Survival of Cemented Distal Femoral Endoprostheses with a Hydroxyapatite-Coated Collar by Melanie Jean Coathup, Vineet Batta, Robin C. Pollock,

Periprosthetic Humeral Fractures After Shoulder Arthroplasty by Sanjay Kumar, John W. Sperling, George H. Haidukewych, and Robert H. Cofield J Bone Joint.

Total Knee Arthroplasty in a Patient with Erdheim-Chester Disease with Massive Joint Destruction by Andre F. Steinert, Stefan Reppenhagen, Bernd Baumann,

Avoiding Complications in the Treatment of Humeral Fractures by Jeffrey O. Anglen, Michael T. Archdeacon, Lisa K. Cannada, and Dolfi Herscovici J Bone.

Patient Positioning on the Operative Table for More Accurate Reduction During Elastic Stable Intramedullary Nailing of the Femur by Raimonda Valaikaite,

Effectiveness of a Microvascular Surgery Training Curriculum for Orthopaedic Surgery Residents by Jia-Wei Kevin Ko, Alyssa Lorzano, and Adam J. Mirarchi.

Computer Navigation for Total Knee Arthroplasty Reduces Revision Rate for Patients Less Than Sixty-five Years of Age by Richard N. de Steiger, Yen-Liang.

Length-Preserving Intramedullary Femoral Fixation for Traumatic Leg Amputation by Jennifer M. Bauer, Alexandra K. Callan, and A. Alex Jahangir JBJS Case.

Detection of Orthopaedic Implants in Vivo by Enhanced- Sensitivity, Walk-Through Metal Detectors by Miguel A. Ramirez, Edward K. Rodriguez, David Zurakowski,

Posterior Knee Arthroscopy: Anatomy, Technique, Application by Dennis E. Kramer, Michael S. Bahk, Brett M. Cascio, and Andrew J. Cosgarea J Bone Joint.

Stages and Tools for Multinational Collaboration: The Perspective from the Coordinating Center of the International Consortium of Orthopaedic Registries.

Evaluation of Patients with Pain Following Total Hip Replacement by Patrick J. Duffy, Bassam A. Masri, Donald S. Garbuz, and Clive P. Duncan J Bone Joint.

Total Knee Arthroplasty with Retention of Both Cruciate Ligaments. A Nine to Eleven-Year Follow-up Study* by J.-M. CLOUTIER, P. SABOURET, and A. DEGHRAR.

Scoliosis in Patients with Duchenne Muscular Dystrophy by Lori A. Karol J Bone Joint Surg Am Volume 89(suppl 1): February 1, 2007 ©2007 by The Journal.

The Effect of Implants Loaded with Autologous Mesenchymal Stem Cells on the Healing of Canine Segmental Bone Defects* by SCOTT P. BRUDER, KARL H. KRAUS,

A Prospective Study of 80,000 Total Joint and 5000 Anterior Cruciate Ligament Reconstruction Procedures in a Community-Based Registry in the United States.

Symposium - The Outcomes Movement in Orthopaedic Surgery: Where We Are and Where We Should Go by MARC F. SWIONTKOWSKI, JOSEPH A. BUCKWALTER, ROBERT B.

Modes of Failure of Custom Expandable Repiphysis Prostheses by Aditya V. Maheshwari, Patrick F. Bergin, and Robert M. Henshaw J Bone Joint Surg Am Volume.

The Fellowship Match Process: The History and a Report of the Current Experience by Lisa K. Cannada, Scott J. Luhmann, Serena S. Hu, and Robert H. Quinn.

Venous Thromboembolic Disease After Total Hip and Knee Arthroplasty by Steven B. Haas, Robert L. Barrack, Geoffrey Westrich, and Paul F. Lachiewicz J Bone.

Hypertrophy of Ligamentum Flavum in Lumbar Spinal Stenosis Associated with Increased Proteinase Inhibitor Concentration by Jong-Beom Park, Jin-Kyung Lee,

Relationship Between Rates and Outcomes of Operative Treatment for Lumbar Disc Herniation and Spinal Stenosis by ROBERT B. KELLER, STEVEN J. ATLAS, DAVID.

Range of Motion of Standard and High-Flexion Posterior Stabilized Total Knee Prostheses by Young-Hoo Kim, Keun-Soo Sohn, and Jun-Shik Kim J Bone Joint.

Complications Associated with Pedicle Screws* by JOHN E. LONSTEIN, FRANCIS DENIS, JOSEPH H. PERRA, MANUEL R. PINTO, MICHAEL D. SMITH, and ROBERT B. WINTER.

Internal Fixation of Dorsally Displaced Fractures of the Distal Part of the Radius by Andrew A. Willis, Keiji Kutsumi, Mark E. Zobitz, and William P. Cooney.

Magnetic Resonance Imaging of Spine Tumors: Classification, Differential Diagnosis, and Spectrum of Disease by Gregory P. Gebauer, Payam Farjoodi, Daniel.

Extracellular Matrix Bioscaffolds for Orthopaedic Applications by Jolene E. Valentin, John S. Badylak, George P. McCabe, and Stephen F. Badylak J Bone.

Allograft-Prosthesis Composite for Revision of Catastrophic Failure of Total Elbow Arthroplasty by Pierre Mansat, Robert A. Adams, and Bernard F. Morrey.

A Randomized, Prospective Study of Operative and Non- Operative Treatment of Injuries of the Fibular Collateral Ligaments of the Ankle* by P. POVACZ, F.

Validation of Two and Three-Dimensional Radiographic Techniques for Measuring Polyethylene Wear After Total Hip Arthroplasty by Andrew J. Hui, Richard.

Development of a Patient-Reported Measure of Function of the Knee* by JAMES J. IRRGANG, LYNN SNYDER-MACKLER, ROBERT S. WAINNER, FREDDIE H. FU, and CHRISTOPHER.

Risk of Injury to the Superior Gluteal Nerve When Using a Proximal Incision for Insertion of a Piriformis-Entry Reamed Femoral Intramedullary Nail by Jason.

Association Between Decreased Bone Mineral Density and Severity of Distal Radial Fractures by Robert A.E. Clayton, Mark S. Gaston, Stuart H. Ralston, Charles.

Natural History of Early Onset Scoliosis by Pedro Fernandes, and Stuart L. Weinstein J Bone Joint Surg Am Volume 89(suppl 1):21-33 February 1, 2007 ©2007.

Alumina-on-Alumina Total Hip Arthroplasty by Young-Kyun Lee, Yong-Chan Ha, Jeong Joon Yoo, Kyung-Hoi Koo, Kang Sup Yoon, and Hee Joong Kim J Bone Joint.

Total Knee Arthroplasty in Patients with Ankylosing Spondylitis by Javad Parvizi, Gavan P. Duffy, and Robert T. Trousdale J Bone Joint Surg Am Volume 83(9):

The Trends in Treatment of Femoral Neck Fractures in the Medicare Population from 1991 to 2008 by Benjamin J. Miller, Xin Lu, and Peter Cram J Bone Joint.

Hip Prosthesis of Antibiotic-Loaded Acrylic Cement for the Treatment of Infections Following Total Hip Arthroplasty by Steven J. Wentworth, Bassam A. Masri,

Reconstruction of Segmental Bone Defects Due to Chronic Osteomyelitis with Use of an External Fixator and an Intramedullary Nail by Levent Eralp, Mehmet.

Contemporary Posterior Occipital Fixation by Gordon H. Stock, Alexander R. Vaccaro, Andrew K. Brown, and Paul A. Anderson J Bone Joint Surg Am Volume 88(7):

Ilizarov Hip Reconstruction for the Late Sequelae of Infantile Hip Infection by S. Robert Rozbruch, Dror Paley, Anil Bhave, and John E. Herzenberg J Bone.

Risk Factors for Infection After Knee Arthroplasty by Esa Jämsen, Heini Huhtala, Timo Puolakka, and Teemu Moilanen J Bone Joint Surg Am Volume 91(1):38-47.

Knee Injury in Patients Experiencing a High-Energy Traumatic Ipsilateral Hip Dislocation by Gary L. Schmidt, Robert Sciulli, and Gregory T. Altman J Bone.

Graduates of Orthopaedic Residency Training Are Increasingly Subspecialized by Patrick K. Horst, Kevin Choo, Neil Bharucha, and Thomas P. Vail J Bone Joint.

Mechanism of Anterior Impingement Damage in Total Knee Arthroplasty by Scott A. Banks, Melinda K. Harman, and W. Andrew Hodge J Bone Joint Surg Am Volume.

Management of Capsular Deficiency of the Shoulder by Jon J.P. Warner, Andreas A. Venegas, Janne T. Lehtinen, and John J. Macy J Bone Joint Surg Am Volume.

Variability in Spine Surgery Procedures Performed During Orthopaedic and Neurological Surgery Residency Training by Alan H. Daniels, Christopher P. Ames,

Lateral Unicompartmental Knee Arthroplasty Through a Medial Approach by Alexander P. Sah, and Richard D. Scott J Bone Joint Surg Am Volume 89(9):

Abrasive Three-Body Wear of Polyethylene Caused by Broken Multifilament Cables of a Total Hip Prosthesis A Report of Three Cases* by THOMAS W. BAUER, JIANG.

Lower-Extremity Peripheral Nerve Blocks in the Perioperative Pain Management of Orthopaedic Patients by Benjamin E. Stein, Umasuthan Srikumaran, Eric W.

Cervical Spine Injury Severity Score by, Paul A. Anderson, Timothy A. Moore, Kirkland W. Davis, Robert W. Molinari, Daniel K. Resnick, Alexander R. Vaccaro,

Revision Total Knee Arthroplasty in a Patient with Bilateral Below-the-Knee Amputation by M.G. Williams, J. Phillips, and K. Eyres JBJS Case Connect Volume.

Pirogoff Amputation for Foot Trauma: An Unusual Amputation Level by F.M. den Bakker, H.R. Holtslag, and J.G.H. van den Brand J Bone Joint Surg Am Volume.

E-Knee: Evolution of the Electronic Knee Prosthesis by Beverly A. Morris, Darryl D. D'Lima, John Slamin, Neb Kovacevic, Steven W. Arms, Christopher P.

Shoulder Hemiarthroplasty for Glenohumeral Arthritis Associated with Severe Rotator Cuff Deficiency by Joaquin Sanchez-Sotelo, Robert H. Cofield, and Charles.

The Clamshell Osteotomy: A New Technique to Correct Complex Diaphyseal Malunions by George V. Russell, Matt L. Graves, Michael T. Archdeacon, David P.

Interrelationships of Clinical Outcome, Length of Resection, and Energy Cost of Walking after Prosthetic Knee Replacement following Resection of a Malignant.

Ultrasound Measurements of Torsions in the Tibia and Femur by David Hudson, Todd Royer, and James Richards J Bone Joint Surg Am Volume 88(1): January.

Temporary Internal Distraction as an Aid to Correction of Severe Scoliosis by Jacob M. Buchowski, David L. Skaggs, and Paul D. Sponseller JBJS Essent Surg.

Salvage of a Below-the-Knee Amputation Level Following a Type-IIIB Open Tibial Fracture by Steven J. Morgan, Justin Newman, Kagan Ozer, Wade Smith, and.

Open Fractures in Children by David G. Stewart, Robert M. Kay, and David L. Skaggs J Bone Joint Surg Am Volume 87(12): December 1, 2005 ©2005.

The Need for Increased Access to the U.S. Health-Care System by Jesse E. Bible, Richard S. Lee, and Gary E. Friedlaender J Bone Joint Surg Am Volume 91(2):

An AOA Critical Issue: Aging of the North American Population: New Challenges for Orthopaedics* by Joseph A. Buckwalter, James D. Heckman, and David P.

Commentary - The Orthopaedic Workforce: Which Rate is Right?* by James N. Weinstein, David Goodman, and John E. Wennberg J Bone Joint Surg Am Volume 80(3):

Primary Total Hip Arthroplasty with Use of the Modular S- ROM Prosthesis. Four to Seven-Year Clinical and Radiographic Results* by MICHAEL J. CHRISTIE,

Familial Bilateral Osteochondritis Dissecans of the Femoral Head by Mark C. Lee, Derek M. Kelly, Daniel J. Sucato, and John A. Herring J Bone Joint Surg.

Viscosupplementation for Osteoarthritis of the Knee by David Jevsevar, Patrick Donnelly, Gregory A. Brown, and Deborah S. Cummins J Bone Joint Surg Am.

Presentation transcript:

Transcutaneous, Distal Femoral, Intramedullary Attachment for Above-the-Knee Prostheses: An Endo-Exo Device by Horst Heinrich Aschoff, Robert E. Kennon, John M. Keggi, and Lee E. Rubin J Bone Joint Surg Am Volume 92(Supplement 2): December 1, 2010 ©2010 by The Journal of Bone and Joint Surgery, Inc.

The Endo-Exo-Femurprosthesis is a transcutaneous, press-fit distal femoral intramedullary device with the distal, external aspect serving as a hard point for attachment of an above-the- knee prosthesis. Horst Heinrich Aschoff et al. J Bone Joint Surg Am 2010;92: ©2010 by The Journal of Bone and Joint Surgery, Inc.

The device is a porous modular construct with a smoothly polished coupler exiting distally through the skin. Horst Heinrich Aschoff et al. J Bone Joint Surg Am 2010;92: ©2010 by The Journal of Bone and Joint Surgery, Inc.

At least 12 to 15 cm of distal femoral bone is needed for adequate bone stock for implantation of the intramedullary device. Horst Heinrich Aschoff et al. J Bone Joint Surg Am 2010;92: ©2010 by The Journal of Bone and Joint Surgery, Inc.

Horst Heinrich Aschoff et al. J Bone Joint Surg Am 2010;92: ©2010 by The Journal of Bone and Joint Surgery, Inc.

Horst Heinrich Aschoff et al. J Bone Joint Surg Am 2010;92: ©2010 by The Journal of Bone and Joint Surgery, Inc.

Horst Heinrich Aschoff et al. J Bone Joint Surg Am 2010;92: ©2010 by The Journal of Bone and Joint Surgery, Inc.

Horst Heinrich Aschoff et al. J Bone Joint Surg Am 2010;92: ©2010 by The Journal of Bone and Joint Surgery, Inc.

Horst Heinrich Aschoff et al. J Bone Joint Surg Am 2010;92: ©2010 by The Journal of Bone and Joint Surgery, Inc.

Fig. 6 A quick-disconnect coupler can be used if desired, and essentially any type of external prosthesis may be employed. Horst Heinrich Aschoff et al. J Bone Joint Surg Am 2010;92: ©2010 by The Journal of Bone and Joint Surgery, Inc.

Partial weight-bearing can begin as early as two to three weeks after the stoma procedure. Horst Heinrich Aschoff et al. J Bone Joint Surg Am 2010;92: ©2010 by The Journal of Bone and Joint Surgery, Inc.

Horst Heinrich Aschoff et al. J Bone Joint Surg Am 2010;92: ©2010 by The Journal of Bone and Joint Surgery, Inc.

Horst Heinrich Aschoff et al. J Bone Joint Surg Am 2010;92: ©2010 by The Journal of Bone and Joint Surgery, Inc.

The device is coupled to a leg prosthesis, with a very functional transfer of the load across the prosthesis. Horst Heinrich Aschoff et al. J Bone Joint Surg Am 2010;92: ©2010 by The Journal of Bone and Joint Surgery, Inc.