Associated with the raise on primary arthroplasty, revision arthroplasty on the context of bonedeficit is today a more frequent clinical scenario. In this kind of patients, total femoral replacement (TFR) seemsas a valid alternative but not exempt of complications. We present five cases that had undergone TFR betweenthe years 2012 and 2016. All cases were patients with diagnosis of hip or knee prosthetic joint infection with alack of bone stock that not allowed further revision procedures. Three men and two women with an average ageof 60 years old underwent surgery. The follow-up ranged between 6 and 67 months. We encountered 3 cases ofinfection and one case of dislocation. For the functional evaluation MSTS score was used. The average score was18,75 to a maximum of 30. Best results were obtained on items pain and emotional status. On the contrary, thelowest results became from the need of all patients of ambulatory assistive devices to walk. Despite the rate ofcomplications we found a high level of satisfaction among patients. Most of them were happy with the interventionand would repeat the surgery if necessary

Associated with the raise on primary arthroplasty, revision arthroplasty on the context of bonedeficit is today a more frequent clinical scenario. In this kind of patients, total femoral replacement (TFR) seemsas a valid alternative but not exempt of complications. We present five cases that had undergone TFR betweenthe years 2012 and 2016. All cases were patients with diagnosis of hip or knee prosthetic joint infection with alack of bone stock that not allowed further revision procedures. Three men and two women with an average ageof 60 years old underwent surgery. The follow-up ranged between 6 and 67 months. We encountered 3 cases ofinfection and one case of dislocation. For the functional evaluation MSTS score was used. The average score was18,75 to a maximum of 30. Best results were obtained on items pain and emotional status. On the contrary, thelowest results became from the need of all patients of ambulatory assistive devices to walk. Despite the rate ofcomplications we found a high level of satisfaction among patients. Most of them were happy with the interventionand would repeat the surgery if necessary