Clinical and radiological outcomes of fixed- versus mobile-bearing total knee replacement: a meta-analysis

被引:40
|
作者
Smith, Toby O. [1 ]
Ejtehadi, Farshid [1 ]
Nichols, Rachel [2 ]
Davies, Leigh [3 ]
Donell, Simon T. [1 ]
Hing, Caroline B. [4 ]
机构
[1] Norfolk & Norwich Univ Hosp, Inst Orthopaed, Norwich NR2 7UY, Norfolk, England
[2] Norfolk Primary Care Trust, Norwich, Norfolk, England
[3] Norfolk & Norwich Univ Hosp, Physiotherapy Dept, Norwich NR2 7UY, Norfolk, England
[4] Watford Dist Gen Hosp, Watford, England
关键词
Knee replacement; Bearing; Systematic review; Meta-analysis; ROTATING-PLATFORM; FOLLOW-UP; ARTHROPLASTY; PROSTHESIS; PATIENT; RELIABILITY; STABILITY; QUALITY; FLEXION; DESIGN;
D O I
10.1007/s00167-009-0909-7
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
Controversy exists regarding the clinical and radiological differences in outcomes between fixed- and mobile-bearing total knee replacements (TKR). The aim of this study was to compare these two TKR designs using a meta-analysis of the electronic databases MEDLINE, EMBASE, CINAHL and AMED in addition to a review of unpublished material. All included papers were critically appraised using a modified PEDro critical appraisal tool. Thirty-three studies were eligible, assessing the outcomes of 3532 TKRs. Analysis suggested that there was no significant difference in clinical or radiological outcomes and complication rates between fixed- and mobile-bearing TKRs.
引用
收藏
页码:325 / 340
页数:16
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