Total femoral replacement: a challenging but promising limb salvage option

Total femur replacement is a limb salvage surgery indicated for patients with oncological and non-oncological pathologies of the femur. Given characteristics patients, there are essential perioperative considerations such as previous treatment chemotherapy or radiotherapy, prevention thromboembolic events, hemorrhage management, booking an intensive care unit. As demanding surgical technique is, preventing extensive fibrosis, major bleeding, acetabular defects, changes in normal anatomy possible. The complications described include infection, structural failure, tumor progression, aseptic loosening, soft tissue failure. Functional results survival vary from series to series, but reports exist high 70% at ten years.