Dataset Information

Compress knee arthroplasty has 80% 10-year survivorship and novel forms of bone failure.

ABSTRACT:

Background

Compliant, self-adjusting compression technology is a novel approach for durable prosthetic fixation of the knee. However, the long-term survival of these constructs is unknown.

Questions/purposes

We therefore determined the survival of the Compress prosthesis (Biomet Inc, Warsaw, IN, USA) at 5 and 10 actuarial years and identified the failure modes for this form of prosthetic fixation.

Methods

We retrospectively reviewed clinical and radiographic records for all 82 patients who underwent Compress knee arthroplasty from 1998 to 2008, as well as one patient who received the device elsewhere but was followed at our institution. Prosthesis survivorship and modes of failure were determined. Followup was for a minimum of 12 months or until implant removal (median, 43 months; range, 6-131 months); 28 patients were followed for more than 5 years.

Results

We found a survivorship of 85% at 5 years and 80% at 10 years. Eight patients required prosthetic revision after interface failure due to aseptic loosening alone (n = 3) or aseptic loosening with periprosthetic fracture (n = 5). Additionally, five periprosthetic bone failures occurred that did not require revision: three patients had periprosthetic bone failure without fixation compromise and two exhibited irregular prosthetic osteointegration patterns with concomitant fracture due to mechanical insufficiency.

Conclusions

Compress prosthetic fixation after distal femoral tumor resection exhibits long-term survivorship. Implant failure was associated with patient nonadherence to the recommended weightbearing proscription or with bone necrosis and fracture. We conclude this is the most durable FDA-approved fixation method for distal femoral megaprostheses.

Level of evidence

Level IV, therapeutic study. See Instructions for Authors for a complete description of levels of evidence.

SUBMITTER: Healey JH

PROVIDER: S-EPMC3563794 | biostudies-literature | 2013 Mar

REPOSITORIES: biostudies-literature

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Publications

Compress knee arthroplasty has 80% 10-year survivorship and novel forms of bone failure.

Healey John H JH Morris Carol D CD Athanasian Edward A EA Boland Patrick J PJ

Clinical orthopaedics and related research 20130301 3

<h4>Background</h4>Compliant, self-adjusting compression technology is a novel approach for durable prosthetic fixation of the knee. However, the long-term survival of these constructs is unknown.<h4>Questions/purposes</h4>We therefore determined the survival of the Compress prosthesis (Biomet Inc, Warsaw, IN, USA) at 5 and 10 actuarial years and identified the failure modes for this form of prosthetic fixation.<h4>Methods</h4>We retrospectively reviewed clinical and radiographic records for all ...[more]

PMID: 23054526

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Dataset Information

Compress knee arthroplasty has 80% 10-year survivorship and novel forms of bone failure.

Background

Questions/purposes

Methods

Results

Conclusions

Level of evidence

Publications

Compress knee arthroplasty has 80% 10-year survivorship and novel forms of bone failure.

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