{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,10]],"date-time":"2025-10-10T21:43:36Z","timestamp":1760132616137,"version":"3.40.5"},"reference-count":39,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2020,12,29]],"date-time":"2020-12-29T00:00:00Z","timestamp":1609200000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Surgical Oncology"],"published-print":{"date-parts":[[2021,3]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Introduction<\/jats:title><jats:p>All\u2010polyethylene (AP) tibial components have demonstrated equivalent or improved long\u2010term survivorship and reduced cost compared with metal\u2010backed (MB) components in primary total knee arthroplasty; however, there is a lack of data comparing these outcomes in the setting of an oncologic endoprosthetic reconstruction.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A total of 115 (88 AP:27 MB) patients undergoing cemented distal femur endoprosthetic reconstruction following oncologic resection were reviewed. Mean age was 40 years and 51% were females. Cumulative incidences of all\u2010cause revision, tibial component revision, reoperation, and infection were calculated utilizing a competing risk analysis with death as the competitor. Mean follow\u2010up was 14 years.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The 10\u2010year cumulative incidence of all\u2010cause revision was 19.9% in the AP group and 16.3% in the MB group (hazard ratio [HR]\u2009=\u20090.93, <jats:italic>p<\/jats:italic>\u2009=\u20090.88). The cumulative incidence of tibial component revision was significantly lower in AP compared with MB at 10 years (1.1% vs. 12.5%, HR\u2009=\u20090.18, <jats:italic>p<\/jats:italic>\u2009=\u20090.03). There was no difference in infection\u2010free survival when comparing the two groups (<jats:italic>p<\/jats:italic>\u2009=\u20090.72).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Reconstruction utilizing an MB or AP tibia component resulted in equivalent overall outcome; however, the tibial component in the AP group was less likely to be revised. AP tibial component should be considered for all primary oncologic reconstructions in the distal femur.<\/jats:p><\/jats:sec><jats:sec><jats:title>Level\u00a0of\u00a0Evidence<\/jats:title><jats:p>Level III Therapeutic.<\/jats:p><\/jats:sec>","DOI":"10.1002\/jso.26358","type":"journal-article","created":{"date-parts":[[2020,12,30]],"date-time":"2020-12-30T06:44:15Z","timestamp":1609310655000},"page":"1126-1133","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Comparison of all\u2010polyethylene and metal\u2010backed modular tibial components in endoprosthetic reconstruction of the distal femur"],"prefix":"10.1002","volume":"123","author":[{"given":"Brandon R.","family":"Bukowski","sequence":"first","affiliation":[{"name":"Department of Orthopedic Surgery Mayo Clinic  Rochester Minnesota USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Adam J.","family":"Tagliero","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery Mayo Clinic  Rochester Minnesota USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mark J.","family":"Heidenreich","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery Mayo Clinic  Rochester Minnesota USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Joshua D.","family":"Johnson","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery Mayo Clinic  Rochester Minnesota USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Peter S.","family":"Rose","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery Mayo Clinic  Rochester Minnesota USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0390-1018","authenticated-orcid":false,"given":"Matthew T.","family":"Houdek","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery Mayo Clinic  Rochester Minnesota USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2020,12,29]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.knee.2015.08.010"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.102B2.BJJ-2019-0535.R1"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.79B4.0790558"},{"issue":"9","key":"e_1_2_7_5_1","first-page":"583","article-title":"Total joint arthroplasty. 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