Table 1.
Study | N | Fixation to prosthesis | Device failure | Revision/reoperation | Infection | Follow-up | Clinical outcomes |
---|---|---|---|---|---|---|---|
Case series | |||||||
Abdelaziz, 2019 | 26 | Cement fixation (2-piece sleeve [+] dual screws) | 21.7% | 30.7% | 13% (PJI) | 48.5 mo | Mean knee flexion 95°, mean Knee Society Score 42.5 (N = 8) |
Patel, 2014 | 15 | Cement | 6.7% | 6.7% | 6.7% (superficial) | 5.3 y | 93% Ambulatory |
Citak, 2013 | 4 | Cement and dual screw | 0% | 25% (aseptic loosening) | 0% | 8 y | NR |
Peters, 2006 | 23 | Press-fit | 0% | 27% | 16.6% (deep sepsis) | 36 mo | Mean knee flexion 95° (N = 16), 91% were ambulatory |
Tillman, 2006 | 5 | Cement | 0% | 0% | 0% | 47 mo | 80% were ambulatory, 1 case of radiographic loosening and osteolysis |
Case reports | |||||||
Sim, 2019 | 1 | Cement proximally, dual screws distally | None | None | None | 14 mo | Bony union |
Grosso, 2013 | 1 | Cement | None | None | None | 22 mo | Independent supported ambulation |
1 | None | Irrigation and debridement with polyethylene exchange | Yes (abscess) | 14 mo | Independent supported ambulation | ||
Osagie, 2011 | 1 | Cement and screw | None | None | None | 2 y | Knee flexion 120°, hip flexion 95° |
Walker, 1999 | 1 | Cement | None | None | None | 3 y | Satisfactory function |
1 | None | None | None | 15 mo | Satisfactory function | ||
1 | None | None | None | 4 y | Ambulation without support, knee flexion 95° |
NR, not reported; PJI, periprosthetic joint infection.