{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,27]],"date-time":"2025-10-27T10:57:21Z","timestamp":1761562641375},"reference-count":17,"publisher":"Georg Thieme Verlag KG","issue":"05","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Z Orthop Unfall"],"published-print":{"date-parts":[[2021,10]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Dwarfism leads to an early onset of osteoarthritis of the joints of the lower limb. Due to bone deformities, arthroplasty is challenging. The incidence of implant-associated complications is higher compared to the normal population and often ends up with multiple revision arthroplasties. We report the first case in the literature of a 48-year-old patient with dwarfism who required implantation of a custom-made total femoral replacement due to aseptic stem loosening and a concomitant valgus gonarthrosis.<\/jats:p>","DOI":"10.1055\/a-1154-8994","type":"journal-article","created":{"date-parts":[[2020,5,18]],"date-time":"2020-05-18T22:56:25Z","timestamp":1589842585000},"page":"533-536","source":"Crossref","is-referenced-by-count":1,"title":["Revision Arthroplasty with Total Femur Replacement for the Management of Complex Post-traumatic Bone Defect in a Patient with Dwarfism"],"prefix":"10.1055","volume":"159","author":[{"given":"Christian","family":"Lausmann","sequence":"additional","affiliation":[{"name":"Gelenkchirurgie, HELIOS ENDO-Klinik Hamburg"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Stefan","family":"Niculescu","sequence":"additional","affiliation":[{"name":"Gelenkchirurgie, HELIOS ENDO-Klinik Hamburg"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mustafa","family":"Citak","sequence":"additional","affiliation":[{"name":"Gelenkchirurgie, HELIOS ENDO-Klinik Hamburg"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Markus","family":"Rossmann","sequence":"additional","affiliation":[{"name":"Gelenkchirurgie, HELIOS ENDO-Klinik Hamburg"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Thorsten","family":"Gehrke","sequence":"additional","affiliation":[{"name":"Gelenkchirurgie, HELIOS ENDO-Klinik Hamburg"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Akos","family":"Zahar","sequence":"additional","affiliation":[{"name":"Gelenkchirurgie, HELIOS Klinikum Emil von Behring GmbH, Berlin"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2020,5,18]]},"reference":[{"issue":"114","key":"ref1","first-page":"153","article-title":"Orthopedic complications of dwarfism","author":"S E Kopits","year":"1976","journal-title":"Clin Orthop Relat Res"},{"key":"ref2","doi-asserted-by":"crossref","first-page":"501","DOI":"10.1002\/ajmg.1320450420","article-title":"Multiple epiphyseal dysplasia, Fairbank type: morphologic and biochemical study of cartilage","volume":"45","author":"R Stanescu","year":"1993","journal-title":"Am J Med Genet"},{"key":"ref3","doi-asserted-by":"crossref","first-page":"1574","DOI":"10.1016\/j.arth.2015.03.024","article-title":"Total Hip Arthroplasty in Patients with Skeletal Dysplasia","volume":"30","author":"D Guenther","year":"2015","journal-title":"J Arthroplasty"},{"key":"ref4","doi-asserted-by":"crossref","first-page":"369","DOI":"10.1016\/S0883-5403(07)80026-X","article-title":"Cementless hip arthroplasty in diastrophic dysplasia","volume":"7","author":"J I Peltonen","year":"1992","journal-title":"J Arthroplasty"},{"key":"ref5","doi-asserted-by":"crossref","first-page":":441","DOI":"10.2106\/00004623-200303000-00007","article-title":"Total hip arthroplasty in diastrophic dysplasia","volume":"85-A","author":"I Helenius","year":"2003","journal-title":"J Bone Joint Surg Am"},{"key":"ref6","doi-asserted-by":"crossref","first-page":"460","DOI":"10.5301\/hipint.5000484","article-title":"Survivorship and complications of total hip arthroplasty in patients with dwarfism","volume":"27","author":"R M Modi","year":"2017","journal-title":"Hip Int"},{"key":"ref7","doi-asserted-by":"crossref","first-page":"171","DOI":"10.1007\/s00402-009-0945-2","article-title":"Total femur replacement","volume":"130","author":"A R Ahmed","year":"2010","journal-title":"Arch Orthop Trauma Surg"},{"key":"ref8","doi-asserted-by":"crossref","first-page":"e736","DOI":"10.3928\/01477447-20110922-11","article-title":"Infected total femoral replacements: evaluation of limb loss risk factors","volume":"34","author":"J S Hwang","year":"2011","journal-title":"Orthopedics"},{"key":"ref9","doi-asserted-by":"crossref","first-page":"2693","DOI":"10.2106\/00004623-200512000-00013","article-title":"Revision arthroplasty with use of a total femur prosthesis","volume":"87","author":"C Friesecke","year":"2005","journal-title":"J Bone Joint Surg Am"},{"key":"ref10","doi-asserted-by":"crossref","first-page":"216","DOI":"10.1054\/arth.2003.50037","article-title":"Successful reimplantation of total femoral prosthesis after deep infection","volume":"18","author":"S Morimoto","year":"2003","journal-title":"J Arthroplasty"},{"key":"ref11","doi-asserted-by":"crossref","first-page":"73","DOI":"10.1016\/j.ijid.2014.01.028","article-title":"Complex prosthetic joint infections due to carbapenemase-producing Klebsiella pneumoniae: a unique challenge in the era of untreatable infections","volume":"25","author":"J de Sanctis","year":"2014","journal-title":"Int J Infect Dis"},{"key":"ref12","doi-asserted-by":"crossref","first-page":"305","DOI":"10.1302\/0301-620X.64B3.7096396","article-title":"The total femoral prosthesis. 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