Clinical and radiological outcomes of fixed- versus mobile-bearing total knee replacement: a meta-analysis |
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Authors: | Toby O. Smith Farshid Ejtehadi Rachel Nichols Leigh Davies Simon T. Donell Caroline B. Hing |
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Affiliation: | (1) Institute of Orthopaedics, Norfolk and Norwich University Hospital, Colney Lane, Norwich, Norfolk, NR2 7UY, UK;(2) Norfolk Primary Care Trust, Norwich, UK;(3) Physiotherapy Department, Norfolk and Norwich University Hospital, Norwich, UK;(4) Watford General Hospital, Watford, UK |
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Abstract: | 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designs using a meta-analysis of the electronic databases MEDLINE, EMBASE, CINAHL and AMED in addition to a review of unpublished material.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. |
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