International Orthopaedics

, Volume 30, Issue 6, pp 465–472

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

  • A. A. Bhangu
  • M. J. Kramer
  • R. J. Grimer
  • R. J. O’Donnell
Original Paper

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.

Résumé

Le descellement aseptique est une des complications bien connues des prothèses cimentées sur le plan fémoral. L’implant Compress® (CPS) qui permet une fixation en compression et qui entraîne une hypertrophie osseuse et évite le stress-shielding est une alternative. Nous avons comparé 26 patients traités pour des problèmes oncologiques avec une prothèse utilisant le nouveau système (CPS) à l’Université de Californie (UCSF, USA) à 26 patients traités par cimentation intra médullaire d’une pièce fémorale traitée au Royal Orthopaedic Hospital de Birmingham (ROH, UK). Le diagnostic le plus fréquent a été l’ostéosarcome. Chaque centre n’a eu qu’un seul échec prothétique. Bien que le suivi ait été court, ces résultats montrent que l’implant CPS à compression est une technique satisfaisante qui, néanmoins, va nécessiter une surveillance à plus long terme afin d’étudier la survenue éventuelle d’échecs.

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Copyright information

© Springer-Verlag 2006

Authors and Affiliations

  • A. A. Bhangu
    • 1
  • M. J. Kramer
    • 2
  • R. J. Grimer
    • 1
  • R. J. O’Donnell
    • 2
  1. 1.Royal Orthopaedic Hospital NHS Trust, WoodlandsNorthfieldUK
  2. 2.UCSF Comprehensive Cancer CenterOrthopaedic Oncology ServiceSan FranciscoUSA

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