Open Access

Table 2

Overview of the studies reporting on local complications of patient cohorts operated for metastatic disease of the distal femur.

Study (year) Surgery (number of fractures and type of reconstruction) Local failures and complications
Wedin et al. (1999) [3] 11 (10 plate OS, 1 EP) 2 OS revisions (1 due to tumor progression, 1 due to stress fracture).
Mavrogenis et al. (2012) [2] 29 (16 nail OS, 13 EP) 1 OS (nail) amputation due to progression, 3 EP revisions due to infection.
One EP aseptic loosening (no treatment).
Mellgren (present study) 48 (10 plate OS, 9 nail OS, 19 EP) 3 plate OS revisions (2 due to tumor progression, 1 due to technical error), 5 EP revisions (3 due to infection, 1 due to fracture, 1 due to technical error).
3 infections (2 plate OS, 1 nail OS) treated with wound washout and/or antibiotics. One local recurrence (EP) treated with radiotherapy. Two peroneal nerve palsies (1 plate OS, 1 EP).

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