Postoperative periprosthetic fractures associated with compressive osseointegration: a systematic review of the Zimmer Biomet Compress® device - Takeaways - MDSpire
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Systematic Review of Postoperative Periprosthetic Fractures Linked to Compressive Osseointegration with the Zimmer Biomet Compress® Device

  • By

  • Kazuhiko Hashimoto

  • Shunji Nishimura

  • Koji Goto

  • August 22, 2026

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  • 1

    The Zimmer Biomet Compress® device utilizes compressive osseointegration to improve implant fixation and reduce stress shielding.

  • 2

    Periprosthetic fractures associated with the CPS device were documented at a low incidence of 2.7% in a multicenter cohort study.

  • 3

    Fractures primarily occurred within the first two postoperative years, contrasting with traditional cemented stems that fail over time.

  • 4

    Methodological quality of the included studies was moderate, with common weaknesses including retrospective designs and limited control groups.

  • 5

    The systematic review aimed to assess postoperative periprosthetic fractures related to the CPS device compared to conventional cemented stems.

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