title: Megaprostheses in the management of trauma of the knee.
abstract: OBJECTIVE
  Review the outcome of patients with complex fractures around the knee treated with megaprosthesis.
  
  
  METHODS
  Retrospective observational study of 10 patients was undertaken.
  
  
  RESULTS
  Six patients were treated with a distal femoral endoprosthesis (DEFPR) and four with an augmented rotating hinge knee replacement (RHK). The mean post-operative Toronto Extremity Salvage Score (TESS) was 62.5 for the whole cohort (RHK group 79.3, compared with 49.2 in the DFEPR group (p= 0.038), peri-prosthetic fracture group was 46.3, compared with 75.6 in native knee fracture group (p= 0.04)).
  
  
  CONCLUSIONS
  A megaprosthesis is a viable option in complex fractures around the knee.
authors.affiliation: Royal Orthopaedic Hospital, Birmingham B31 2AP, UK.
authors.forename: Scott
authors.initials: S
authors.lastname: Evans
authors.affiliation: Royal Orthopaedic Hospital, Birmingham B31 2AP, UK.
authors.forename: Edward
authors.initials: E
authors.lastname: Laugharne
authors.affiliation: Royal Orthopaedic Hospital, Birmingham B31 2AP, UK.
authors.forename: Amit
authors.initials: A
authors.lastname: Kotecha
authors.affiliation: Royal Orthopaedic Hospital, Birmingham B31 2AP, UK.
authors.forename: Laura
authors.initials: L
authors.lastname: Hadley
authors.affiliation: Royal Orthopaedic Hospital, Birmingham B31 2AP, UK.
authors.forename: Arul
authors.initials: A
authors.lastname: Ramasamy
authors.affiliation: Royal Orthopaedic Hospital, Birmingham B31 2AP, UK.
authors.forename: Lee
authors.initials: L
authors.lastname: Jeys
keywords: Complex; Knee; Megaprosthesis; Trauma