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International Orthopaedics
Erschienen in: International Orthopaedics 6/2006

01.12.2006 | Original Paper

Early distal femoral endoprosthetic survival: cemented stems versus the Compress® implant

verfasst von: A. A. Bhangu, M. J. Kramer, R. J. Grimer, R. J. O’Donnell

Erschienen in: International Orthopaedics | Ausgabe 6/2006

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Abstract

Aseptic loosening is well known following endoprosthetic replacement (EPR) using cemented intramedullary stems (CISs). The Compress® (CPS) implant uses a novel spring system, achieving immediate, high compression fixation that induces bone hypertrophy and avoids stress shielding. We compared 26 oncologic distal femoral CPS patients treated at the University of California, San Francisco (UCSF, USA) with 26 matched CIS patients from the Royal Orthopaedic Hospital, Birmingham (ROH, UK). The predominant diagnosis was osteosarcoma. Each centre had only one device-related prosthetic failure. In the short term these results show CPS to be safe and effective. We await longer follow-up to assess the ongoing potential for prosthetic failure.
Literatur
1.
Bickels J, Wittig JC, Kollender Y, Henshaw RM, Kellar-Graney KL, Meller I, Malawer M (2002) Distal femoral resection with endoprosthetic reconstruction: a long-term followup study. Clin Orthop Relat Res 400:225–235PubMedCrossRef
2.
Bini SA, Johnston JO, Martin DL (2000) Compliant prestress fixation in tumor prostheses: interface retrieval data. Orthopedics 23:707–712PubMed
3.
Blunn GW, Briggs TWR, Cannon SR, Walker PS, Unwin PS, Culligan S, Cobb JP (2000) Cementless fixation for primary segmental bone tumor endoprostheses. Clin Orthop Relat Res 372:223–230PubMedCrossRef
4.
Cannon CP, Zeegen E, Eckardt JJ (2005) Techniques in endoprosthetic reconstruction. Oper Tech Orthop 14:225–235CrossRef
5.
Cox DR (1972) Regression models and life tables. J R Stat Soc 34:187–220
6.
Cristofolini L, Bini SA, Toni A (1998) In vitro testing of a novel limb salvage prosthesis for the distal femur. Clin Biomech 13:608–615CrossRef
7.
Damron TA (1997) Endoprosthetic replacement following limb-sparing resection for bone sarcoma. Semin Surg Oncol 13:3–10PubMedCrossRef
8.
Dorfman HD, Czerniak B (1998) Bone tumors. Mosby, St. Louis
9.
Eckardt JJ, Eilber FR, Dorey FJ, Mirra JM (1985) The UCLA experience in limb salvage surgery for malignant tumors. Orthopedics 8:612–621PubMed
10.
Eckardt JJ, Eilber FR, Rosen G, Mirra JM, Dorey FJ, Ward WG, Kabo JM (1991) Endoprosthetic replacement for stage IIB osteosarcoma. Clin Orthop Relat Res 270:202–213PubMed
11.
Enneking WF, Spanier SS, Goodman MA (1980) A system for the surgical staging of musculoskeletal sarcoma. Clin Orthop Relat Res 153:106–120PubMed
12.
Freedman EL, Eckardt JJ (1997) A modular endoprosthetic system for tumor and non-tumor reconstruction: preliminary experience. Orthopedics 20:27–36PubMed
13.
Grimer RJ, Belthur M, Chandrasekar C, Carter SR, Tillman RM (2002) Two-stage revision for infected endoprostheses used in tumor surgery. Clin Orthop Relat Res 395:193–203PubMedCrossRef
14.
Grimer RJ, Carter SR, Tillman RM, Sneath RS, Walker PS, Unwin PS, Shewell PC (1999) Endoprosthetic replacement of the proximal tibia. J Bone Joint Surg Br 81:488–494PubMedCrossRef
15.
Henshaw RM, Bickels J, Malawer MM (1999) Modular endoprosthetic reconstruction for lower extremity skeletal defects: oncologic and reconstructive indications. Semin Arthroplasty 10:180–187
16.
Holzer G, Windhager R, Kotz R (1997) One-stage revision surgery for infected megaprostheses. J Bone Joint Surg B 79:31–35PubMedCrossRef
17.
Horowitz SM, Glasser DB, Lane JM, Healey JH (1993) Prosthetic and extremity survivorship after limb salvage for sarcoma: how long do the reconstructions last? Clin Orthop Relat Res 293:280–286PubMed
18.
Jeys LM, Grimer RJ, Carter SR, Tillman RM (2005) Periprosthetic infection in patients treated for an orthopaedic oncologic condition. J Bone Joint Surg Am 87:842–849PubMedCrossRef
19.
Kaplan EL, Meier P (1958) Nonparametric observations from incomplete observations J Am Stat Assoc 53
20.
Kawai A, Healey JH, Boland PJ, Athanasian EA, Jeon D-G (1999) A rotating hinge knee replacement for malignant tumors of the femur and tibia. J Arthroplasty 14:187–196PubMedCrossRef
21.
Kawai A, Muschler GF, Lane JM, Otis JC, Healey JH (1998) Prosthetic knee replacement after resection of a malignant tumor of the distal part of the femur. J Bone Joint Surg Am 80:636–647PubMedCrossRef
22.
Lackman RD (2005) Musculoskeletal oncology. In: Vaccaro AR (ed) Orthopaedic knowledge update: 8. American Academy of Orthopaedic Surgeons, Rosemont, Ill, pp 197–215
23.
Lee SH, Oh JH, Lee KS, Yoo KH, Kim HS (2002) Infection after prosthetic reconstruction in limb salvage surgery. Int Orthop 26:179–184PubMedCrossRef
24.
Malawer M (1985) Surgical technique and results of limb sparing surgery for high grade bone sarcomas of the knee and shoulder. Orthopedics 8:597–607PubMed
25.
Malawer MM, Chou LB (1995) Prosthetic survival and clinical results with use of large-segment replacements in the treatment of high-grade bone sarcomas. J Bone Joint Surg Am 77:1154–1165PubMed
26.
Mitermayer F, Windhager R, Dominkus M, Krepler P, Schwameis E, Sluga M, Kotz R, Strasser G (2002) Revision of the Kotz type of tumour endoprosthesis for the lower limb. J Bone Joint Surg Br 84:401–406CrossRef
27.
Muschler GF, Levine MJ, Ihara K, Otis JC, Lane JM, Burstein AH, Healey JH (1995) A custom distal femoral prosthesis for reconstruction of large defects following wide excision for sarcoma: results and prognostic factors. Orthopedics 18:527–538PubMed
28.
Nichter LS, Menendez LR (1993) Reconstructive considerations for limb salvage surgery. Orthop Clin North Am 24:511–521PubMed
29.
O’Donnell RJ, Johnston JO, Berrey BH Jr, Boland PJ, Scarborough MT, Yasko AW, Lin PP, Mallin BA, Morris CD, Weber KL, Lewis VO, Marco RAW, Randall RL, Healey JH (2003) Preliminary report of the multi-institutional ComPreSs distal femoral study. 12th international symposium on limb salvage, Rio de Janiero, Brazil, September 15–17 2003
30.
Plötz W, Rechl H, Burkgkart R, Messmer C, Schelter R, Hipp E, Gradinger R (2002) Limb salvage with tumor endoprostheses for malignant tumors of the knee. Clin Orthop Relat Res 405:207–215PubMedCrossRef
31.
Roberts P, Chan D, Grimer RJ, Sneath RS, Scales JT (1991) Prosthetic replacement of the distal femur for primary bone tumours. J Bone Joint Surg Br 73:762–769PubMed
32.
Safran MR, Kody MH, Namba RS, Larson KR, Kabo JM, Dorey FJ, Eilber FR, Eckardt JJ (1994) 151 endoprosthetic reconstructions for patients with primary tumors involving bone. Contemp Orthop 29:15–25PubMed
33.
Shih L-Y, Chen T-S, Lo W-H (1993) Limb salvage surgery for locally aggressive and malignant bone tumors. J Surg Oncol 53:154–160PubMed
34.
Shih L-Y, Sim FH, Pritchard DJ, Rock MG, Chao EYS (1993) Segmental total knee arthroplasty after distal femoral resection for tumor. Clin Orthop Relat Res 292:269–281PubMed
35.
Unwin PS, Cannon SR, Grimer RJ, Kemp HBS, Sneath RS, Walker PS (1996) Aseptic loosening in cemented custom-made prosthetic replacements for bone tumours of the lower limb. J Bone Joint Surg Br 78:5–13PubMed
36.
Unwin PS, Cobb JP, Walker PS (1993) Distal femoral arthroplasty using custom-made prostheses. J Arthroplasty 8:259–268PubMed
37.
Unwin PS, Cobb JP, Walker PS (1993) Distal femoral arthroplasty using custom-made prostheses: the first 218 cases. J Arthroplasty 8:259–268PubMedCrossRef
38.
Ward WG, Eckardt JJ, Johnston-Jones KS, Eilber FR, Namba R, Dorey FJ, Mirra J, Kabo JM (1991) Five to ten year results of custom endoprosthetic replacement for tumors of the distal femur. In: Brown KLB (ed) Complications of limb salvage: prevention, management and outcomes. International Society of Limb Salvage, Montreal, pp 483–491
39.
Ward WG Sr, Dorey F, Kelly C, Kabo JM, Wirganowicz PZ, Eckardt JJ (1999) Lessons from massive tumor endoprostheses: implications for future tumor and total joint endoprostheses. Semin Arthroplasty 10:124–132
40.
Yasko AW, Lin PP, Weber KL (2001) Survivorship of segmental prosthetic arthroplasty for limb salvage following bone sarcoma resections. Sarcoma 5:61–62
41.
Yasko AW, Reece GP, Gillis TA, Pollock RE (1997) Limb-salvage strategies to optimize quality of life: the MD Anderson Cancer Center experience. CA Cancer J Clin 47:226–238PubMed
Metadaten
Titel
Early distal femoral endoprosthetic survival: cemented stems versus the Compress® implant
verfasst von
A. A. Bhangu
M. J. Kramer
R. J. Grimer
R. J. O’Donnell
Publikationsdatum
01.12.2006
Verlag
Springer-Verlag
Erschienen in
International Orthopaedics / Ausgabe 6/2006
Print ISSN: 0341-2695
Elektronische ISSN: 1432-5195
DOI
https://doi.org/10.1007/s00264-006-0186-8

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