Long-Term Survival of Cemented Distal Femoral Endoprostheses with a Hydroxyapatite-Coated Collar by Melanie Jean Coathup, Vineet Batta, Robin C. Pollock,

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Long-Term Survival of Cemented Distal Femoral Endoprostheses with a Hydroxyapatite-Coated Collar by Melanie Jean Coathup, Vineet Batta, Robin C. Pollock, William J. Aston, Stephen R. Cannon, John A. Skinner, Timothy W.R. Briggs, Paul S. Unwin, and Gordon William Blunn J Bone Joint Surg Am Volume 95(17): September 4, 2013 ©2013 by The Journal of Bone and Joint Surgery, Inc.

Fig. 1-A An anteroposterior radiograph of a distal femoral prosthesis fifteen years after it was inserted to treat malignant fibrous histiocytoma in a forty-three-year-old female patient. Melanie Jean Coathup et al. J Bone Joint Surg Am 2013;95: ©2013 by The Journal of Bone and Joint Surgery, Inc.

Fig. 2 Kaplan-Meier survival analysis of the distal femoral prostheses with respect to implant revision due to implant failure for any cause. Melanie Jean Coathup et al. J Bone Joint Surg Am 2013;95: ©2013 by The Journal of Bone and Joint Surgery, Inc.

Fig. 3 Kaplan-Meier survival analysis, with respect to aseptic loosening, of the distal femoral prostheses with ingrowth into the hydroxyapatite (HA)-coated collar compared with those with no radiographic signs of ingrowth into the collar. Melanie Jean Coathup et al. J Bone Joint Surg Am 2013;95: ©2013 by The Journal of Bone and Joint Surgery, Inc.

Fig. 4-A A photomicrograph of a transverse section through a hydroxyapatite-coated ingrowth collar showing mature lamellar bone in direct contact with the implant surface. Melanie Jean Coathup et al. J Bone Joint Surg Am 2013;95: ©2013 by The Journal of Bone and Joint Surgery, Inc.

Fig. 5-A A radiograph of a distal femoral prosthesis with no ingrowth collar. Melanie Jean Coathup et al. J Bone Joint Surg Am 2013;95: ©2013 by The Journal of Bone and Joint Surgery, Inc.