CORR Insights^®: Revision Distal Femoral Arthroplasty With the Compress^® Prosthesis Has a Low Rate of Mechanical Failure at 10 Years

Excerpt

We have made good progress since limb-sparing surgery became a possibility for patients with large skeletal defects about the knee, but that development has plateaued during the last 20 years, in large measure because of limitations associated with continued use of cemented femoral stems in patients who are likely to survive for many years. Because the development of different forms of fixation has been slow, we continue to settle for cemented stems. More patients are surviving their disease, and the number of patients undergoing revision procedures for reconstructive failures continues to grow [2]. Aseptic loosening, infection, and mechanical failure continue to be the major issues our patients face over time, with aseptic loosening being the most common reason for revision [1]. Unlike our hip and knee arthroplasty colleagues, we have been slow to make advances in durable femoral fixation. …