Current concepts in total femoral replacement

Figure 1 Total femoral replacement with intercalary body to connect proximal femoral replacement with distal rotating hinge knee implant. A: Composite radiographic images of our patient who underwent revision arthroplasty with TFR after periprosthetic infection necessitated removal of distal femoral replacement rotating hinge component and en bloc resection saucerization excision of remnant native proximal femur; B: Reconstruction was accomplished with intercalary body connecting proximal femoral replacement component with rotating hinge knee implant. Extensor mechanism was reconstructed and the greater trochanter repaired with a long claw cable fixation and Mersilene tapes. TFR: Total femoral replacement.