Surgical Technique for Distal Femur Prosthesis for Supracondylar Fracture Femur by Dr. Anoop Jhurani

Description

This video features Anoop Jhurrani discussing the principles, techniques, and critical aspects of mega prosthetic replacement for the distal femur in cases of supracondylar fractures. He presents a case study of a 75-year-old woman who has experienced a neglected fracture for four months, leading to severe osteoarthrosis and the necessity for megaprosthetic replacement as a practical solution for her rapid rehabilitation.



Jhurrani explains the types of megaprostheses available, focusing on common systems in India such as the Diffuse Alveolar System (DAS) and Stryker's GMRS, while also mentioning a less effective local option suitable for patients with lower affordability. He describes the surgical approach in detail, emphasizing the careful extraction of the distal femur and the importance of precise measurements before resecting the needed length to accommodate the prosthetic device.



The operation procedure is elaborated, covering the reaming of the femoral canal, the meticulous release of fibrous tissues surrounding the knee, and the creation of a smooth surface for the tibial component. An emphasis is placed on ensuring that the limb length remains unchanged during surgery, monitoring alignment, and the potential complications of poor prosthetic fit or cement application.



Postoperative evaluation includes analyzing X-ray images to confirm proper alignment, stem placement, and cement application. Jhurrani aims to provide viewers with insightful details about managing advanced osteoarthrosis and the surgical methodologies for distal femur tumor replacement, highlighting the increasing frequency of such cases in modern practice.

DOI: 10.1302/3114-230110

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