J Korean Med Sci.  2009 Apr;24(2):350-353. 10.3346/jkms.2009.24.2.350.

Loss of Distal Femur Combined with Popliteal Artery Occlusion: Reconstructive Arthroplasty Using Modular Segmental Endoprosthesis: A Case Report

  • 1Department of Orthopedic Surgery, Cheongju St. Mary's Hospital, Cheongju, Korea. zona413@yahoo.co.kr
  • 2Department of Orthopedic Surgery, St. Mary's Hospital, The Catholic University of Korea, Seoul, Korea.


Severe injury to the knee and the surrounding area is frequently associated with injury to ligaments of the knee joint and structures in the popliteal fossa. This case involved a popliteal artery occlusion, severe bone loss of distal femur, loss of collateral ligaments, and extensor mechanism destruction of the knee. Initially, prompt recognition and correction of associated popliteal artery injury are important for good results after treatment. After successful revascularization, treatment for severe bone loss of distal femur and injury of the knee joint must be followed. We treated this case by delayed reconstruction using modular segmental endoprosthesis after revascularization of the popliteal artery. This allowed early ambulation. At 36 months after surgery, the patient had good circulation of the lower limb and was ambulating independently.


Popliteal Artery; Arthroplasty; Endoprosthesis
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