No differences between fixed- and mobile-bearing total knee arthroplasty View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2017-06

AUTHORS

B. L. Fransen, D. C. van Duijvenbode, M. J. M. Hoozemans, B. J. Burger

ABSTRACT

PURPOSE: For years, numerous studies have been performed to determine whether mobile-bearing total knee arthroplasty (MB-TKA) or fixed-bearing total knee arthroplasty (FB-TKA) is the preferential design in total knee arthroplasty. Reviews and meta-analyses on this subject have focused on a relatively small number of randomised controlled trials, possibly missing important results of smaller studies. The goal of this review was to provide a comprehensive overview of all literature comparing MB-TKA and FB-TKA in the treatment of osteoarthritis of the knee. METHODS: An extensive literature search was performed in the PubMed database. All studies that compared MB-TKA with FB-TKA and looked at one of four theorised advantages (insert wear, signs of loosening, survival rate of the prosthesis and clinical outcome) were included. RESULTS: The initial search yielded 258 articles, of which 127 were included after the first screening. The included studies consisted of 9 meta-analyses, 3 systematic reviews, 48 RCT's, 44 comparative studies, 10 reviews and 13 studies that examined patients who received bilateral TKA (one MB-TKA and one FB-TKA). Combining the results of all studies showed that almost all studies found no difference between MB-TKA and FB-TKA. CONCLUSIONS: Even when examining all different types of studies on MB-TKA and FB-TKA, the results of this review showed no difference in insert wear, risk of loosening, survivorship or clinical outcome. In daily practice, the choice between MB-TKA and FB-TKA should be based on the experience and judgment of the surgeon, since no clear differences are observed in the scientific literature. LEVEL OF EVIDENCE: III. More... »

PAGES

1757-1777

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  • Identifiers

    URI

    http://scigraph.springernature.com/pub.10.1007/s00167-016-4195-x

    DOI

    http://dx.doi.org/10.1007/s00167-016-4195-x

    DIMENSIONS

    https://app.dimensions.ai/details/publication/pub.1047408011

    PUBMED

    https://www.ncbi.nlm.nih.gov/pubmed/27324479


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        "datePublished": "2017-06", 
        "datePublishedReg": "2017-06-01", 
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