Mobile-bearing versus fixed-bearing total knee arthroplasty: a meta-analysis of randomized controlled trials
<h3>Objective</h3><p dir="ltr">The purpose of this study was to perform a meta-analysis comparing mobile-bearing with fixed-bearing total knee arthroplasty (TKA) in terms of all-cause revision rates, aspetic loosening, knee functional scores, range of motion and radiograp...
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| مؤلفون آخرون: | , , , , , , , , |
| منشور في: |
2021
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| _version_ | 1864513541053087744 |
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| author | Ashraf T. Hantouly (14150319) |
| author2 | Abdulaziz F. Ahmed (14150082) Osama Alzobi (14150292) Ammar Toubasi (9165524) Motasem Salameh (14146794) Aissam Elmhiregh (14150667) Shamsi Hameed (14150325) Ghalib O. Ahmed (14150277) Abtin Alvand (14150670) Mohammed Al Ateeq Al Dosari (14150280) |
| author2_role | author author author author author author author author author |
| author_facet | Ashraf T. Hantouly (14150319) Abdulaziz F. Ahmed (14150082) Osama Alzobi (14150292) Ammar Toubasi (9165524) Motasem Salameh (14146794) Aissam Elmhiregh (14150667) Shamsi Hameed (14150325) Ghalib O. Ahmed (14150277) Abtin Alvand (14150670) Mohammed Al Ateeq Al Dosari (14150280) |
| author_role | author |
| dc.creator.none.fl_str_mv | Ashraf T. Hantouly (14150319) Abdulaziz F. Ahmed (14150082) Osama Alzobi (14150292) Ammar Toubasi (9165524) Motasem Salameh (14146794) Aissam Elmhiregh (14150667) Shamsi Hameed (14150325) Ghalib O. Ahmed (14150277) Abtin Alvand (14150670) Mohammed Al Ateeq Al Dosari (14150280) |
| dc.date.none.fl_str_mv | 2021-05-22T21:00:00Z |
| dc.identifier.none.fl_str_mv | 10.1007/s00590-021-02999-x |
| dc.relation.none.fl_str_mv | https://figshare.com/articles/journal_contribution/Mobile-bearing_versus_fixed-bearing_total_knee_arthroplasty_a_meta-analysis_of_randomized_controlled_trials_/21597090 |
| dc.rights.none.fl_str_mv | CC BY 4.0 info:eu-repo/semantics/openAccess |
| dc.subject.none.fl_str_mv | Biomedical and clinical sciences Clinical sciences Health sciences Sports science and exercise Mobile Fixed Bearing Total knee Arthroplasty Meta-analysis Systematic review |
| dc.title.none.fl_str_mv | Mobile-bearing versus fixed-bearing total knee arthroplasty: a meta-analysis of randomized controlled trials |
| dc.type.none.fl_str_mv | Text Journal contribution info:eu-repo/semantics/publishedVersion text contribution to journal |
| description | <h3>Objective</h3><p dir="ltr">The purpose of this study was to perform a meta-analysis comparing mobile-bearing with fixed-bearing total knee arthroplasty (TKA) in terms of all-cause revision rates, aspetic loosening, knee functional scores, range of motion and radiographic lucent lines and osteolysis.</p><h3>Methods</h3><p dir="ltr">PubMed, Cochrane Library, Google Scholar and Web of Science were searched up to January 2020. Randomized controlled trials that compared primary mobile-bearing with fixed-bearing TKA, reporting at least one of the outcomes of interest, at a minimum follow-up of 12 months were included. All outcomes of interest were pooled at short-term (< 5 years), mid-term (5 to 9 years) and long-term (> = 10 years) follow-up intervals.</p><h3>Results</h3><p dir="ltr">A total of 70 eligible articles were included in the qualitative and statistical analyses. There was no difference between mobile-bearing or fixed-bearing TKA at short-term, mid-term and long-term follow-ups in all outcome measures including all-cause revision rate, aseptic loosening, oxford knee score, knee society score, Hospital for Special Surgery score, maximum knee flexion, radiographic lucent lines and radiographic osteolysis.</p><h3>Conclusion</h3><p dir="ltr">The current level of evidence demonstrated that both mobile-bearing and fixed-bearing designs achieved excellent outcomes, yet it does not prove the theoretical advantages of the mobile-bearing insert over its fixed-bearing counterpart. The use of either design could therefore be supported based on the outcomes assessed in this study.</p><p dir="ltr">Level of Evidence: Level II, Therapeutic</p><h2>Other Information</h2><p dir="ltr">Published in: European Journal of Orthopaedic Surgery & Traumatology<br>License: <a href="https://creativecommons.org/licenses/by/4.0" target="_blank">https://creativecommons.org/licenses/by/4.0</a><br>See article on publisher's website: <a href="http://dx.doi.org/10.1007/s00590-021-02999-x" target="_blank">http://dx.doi.org/10.1007/s00590-021-02999-x</a></p> |
| eu_rights_str_mv | openAccess |
| id | Manara2_c54baf0b17d5d16d461b7a98983a4ddb |
| identifier_str_mv | 10.1007/s00590-021-02999-x |
| network_acronym_str | Manara2 |
| network_name_str | Manara2 |
| oai_identifier_str | oai:figshare.com:article/21597090 |
| publishDate | 2021 |
| repository.mail.fl_str_mv | |
| repository.name.fl_str_mv | |
| repository_id_str | |
| rights_invalid_str_mv | CC BY 4.0 |
| spelling | Mobile-bearing versus fixed-bearing total knee arthroplasty: a meta-analysis of randomized controlled trialsAshraf T. Hantouly (14150319)Abdulaziz F. Ahmed (14150082)Osama Alzobi (14150292)Ammar Toubasi (9165524)Motasem Salameh (14146794)Aissam Elmhiregh (14150667)Shamsi Hameed (14150325)Ghalib O. Ahmed (14150277)Abtin Alvand (14150670)Mohammed Al Ateeq Al Dosari (14150280)Biomedical and clinical sciencesClinical sciencesHealth sciencesSports science and exerciseMobile FixedBearingTotal kneeArthroplastyMeta-analysisSystematic review<h3>Objective</h3><p dir="ltr">The purpose of this study was to perform a meta-analysis comparing mobile-bearing with fixed-bearing total knee arthroplasty (TKA) in terms of all-cause revision rates, aspetic loosening, knee functional scores, range of motion and radiographic lucent lines and osteolysis.</p><h3>Methods</h3><p dir="ltr">PubMed, Cochrane Library, Google Scholar and Web of Science were searched up to January 2020. Randomized controlled trials that compared primary mobile-bearing with fixed-bearing TKA, reporting at least one of the outcomes of interest, at a minimum follow-up of 12 months were included. All outcomes of interest were pooled at short-term (< 5 years), mid-term (5 to 9 years) and long-term (> = 10 years) follow-up intervals.</p><h3>Results</h3><p dir="ltr">A total of 70 eligible articles were included in the qualitative and statistical analyses. There was no difference between mobile-bearing or fixed-bearing TKA at short-term, mid-term and long-term follow-ups in all outcome measures including all-cause revision rate, aseptic loosening, oxford knee score, knee society score, Hospital for Special Surgery score, maximum knee flexion, radiographic lucent lines and radiographic osteolysis.</p><h3>Conclusion</h3><p dir="ltr">The current level of evidence demonstrated that both mobile-bearing and fixed-bearing designs achieved excellent outcomes, yet it does not prove the theoretical advantages of the mobile-bearing insert over its fixed-bearing counterpart. The use of either design could therefore be supported based on the outcomes assessed in this study.</p><p dir="ltr">Level of Evidence: Level II, Therapeutic</p><h2>Other Information</h2><p dir="ltr">Published in: European Journal of Orthopaedic Surgery & Traumatology<br>License: <a href="https://creativecommons.org/licenses/by/4.0" target="_blank">https://creativecommons.org/licenses/by/4.0</a><br>See article on publisher's website: <a href="http://dx.doi.org/10.1007/s00590-021-02999-x" target="_blank">http://dx.doi.org/10.1007/s00590-021-02999-x</a></p>2021-05-22T21:00:00ZTextJournal contributioninfo:eu-repo/semantics/publishedVersiontextcontribution to journal10.1007/s00590-021-02999-xhttps://figshare.com/articles/journal_contribution/Mobile-bearing_versus_fixed-bearing_total_knee_arthroplasty_a_meta-analysis_of_randomized_controlled_trials_/21597090CC BY 4.0info:eu-repo/semantics/openAccessoai:figshare.com:article/215970902021-05-22T21:00:00Z |
| spellingShingle | Mobile-bearing versus fixed-bearing total knee arthroplasty: a meta-analysis of randomized controlled trials Ashraf T. Hantouly (14150319) Biomedical and clinical sciences Clinical sciences Health sciences Sports science and exercise Mobile Fixed Bearing Total knee Arthroplasty Meta-analysis Systematic review |
| status_str | publishedVersion |
| title | Mobile-bearing versus fixed-bearing total knee arthroplasty: a meta-analysis of randomized controlled trials |
| title_full | Mobile-bearing versus fixed-bearing total knee arthroplasty: a meta-analysis of randomized controlled trials |
| title_fullStr | Mobile-bearing versus fixed-bearing total knee arthroplasty: a meta-analysis of randomized controlled trials |
| title_full_unstemmed | Mobile-bearing versus fixed-bearing total knee arthroplasty: a meta-analysis of randomized controlled trials |
| title_short | Mobile-bearing versus fixed-bearing total knee arthroplasty: a meta-analysis of randomized controlled trials |
| title_sort | Mobile-bearing versus fixed-bearing total knee arthroplasty: a meta-analysis of randomized controlled trials |
| topic | Biomedical and clinical sciences Clinical sciences Health sciences Sports science and exercise Mobile Fixed Bearing Total knee Arthroplasty Meta-analysis Systematic review |