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Survival of the implant and \u2018servicing\u2019 procedures have been documented using a prospective database. <\/jats:p><jats:p> A total of 194 patients underwent a proximal tibial replacement, with 95 having a fixed-hinge design and 99 a rotating-hinge with a hydroxyapatite collar; their median age was 21.5 years (10 to 74). At a mean follow-up of 14.7 years (5 to 29), 115 patients remain alive. The risk of revision for any reason in the fixed-hinge group was 32% at five years, 61% at ten years and 75% at 15 and 20 years, and in the rotating-hinge group 12% at five years, 25% at ten years and 30% at 15 years. Aseptic loosening was the most common reason for revision in the fixed-hinge knees, fracture of the implant in the early design of rotating hinges and infection in the current version. The risk of revision for aseptic loosening in the fixed-hinge knees was 46% at ten years. This was reduced to 3% in the rotating-hinge knee with a hydroxyapatite collar. The cemented, rotating hinge design currently offers the best chance of long-term survival of the prosthesis. <\/jats:p>","DOI":"10.1302\/0301-620x.89b12.19481","type":"journal-article","created":{"date-parts":[[2007,12,5]],"date-time":"2007-12-05T22:53:07Z","timestamp":1196895187000},"page":"1632-1637","source":"Crossref","is-referenced-by-count":147,"title":["The long-term results of endoprosthetic replacement of the proximal tibia for bone tumours"],"prefix":"10.1302","volume":"89-B","author":[{"given":"G. J. C.","family":"Myers","sequence":"first","affiliation":[{"name":"Oncology Surgeon Royal Orthopaedic Hospital, Bristol Road South, Birmingham B31 2AP, UK."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A. T.","family":"Abudu","sequence":"additional","affiliation":[{"name":"Oncology Surgeon Royal Orthopaedic Hospital, Bristol Road South, Birmingham B31 2AP, UK."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S. 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