Open Access
Table 4
Summary of key published cohort studies on cemented distal femoral megaprosthetic reconstruction after tumor resection.
| Study | n | Type of implant | Fixation | Follow-up (mean) | 5-year implant survival | Mechanical failure | Functional outcome (MSTS) |
|---|---|---|---|---|---|---|---|
| Schwartz et al. 2010 [12] | 186 | Custom–made + modular | Cemented | 96 months | 83.5% | 18.8% | Not reported |
| Piakong et al. 2020 [14] | 195 | Modular | Cemented | 78 months | 74% | 7.2% (aseptic loosening) | Not reported |
| Bergin et al. 2011 [11] | 104 | Modular | Cemented | 5.6 years | 76.1% | 10.7% | Not reported |
| Houdek et al. 2016 [3] | 152 | Custom–made + modular | Cemented | 10 years | 76% | 21.1% | 25 |
| Holm et al. 2025 [10] | 59 | Modular | Cemented | 3 years | 88% | 13% | 17 |
| Sharma et al. 2006 [24] | 77 | Modular | Cemented | 52 months | 84% | 0% (aseptic loosening) | 30 |
| Ahlmann et al. 2006 [22] | 78 | Modular | Cemented | 37 months | 75% | 15.2% | 22.9 |
| Mattei et al. 2020 [25] | 136 | Modular | Cemented | 81 months | 78% | 18% | 24.6 |
| Jeys et al. 2008 [23] | 228 | Modular | Cemented | 9 years | 68.6% (at 10 years) | 21.1% | Not reported |
| Present study | 57 | Custom–made | Cemented | 49 months | 72.9% | 15% | 21.6 |
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