Comparison of fixed- and mobile-bearing total knee arthroplasty with a mean five-year follow-up: A meta-analysis

  • Authors:
    • Mengqi Cheng
    • Desheng Chen
    • Yongyuan Guo
    • Chen Zhu
    • Xianlong Zhang
  • View Affiliations

  • Published online on: May 17, 2013     https://doi.org/10.3892/etm.2013.1122
  • Pages: 45-51
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Abstract

Controversy exists regarding the clinical and radiological differences in outcomes between fixed‑bearing (FB) and mobile‑bearing (MB) total knee arthroplasties (TKAs) at the mid‑ or long‑term follow‑up. We therefore conducted a meta‑analysis and systematic review of randomized controlled trials (RCTs) that have evaluated FB and MB TKAs. We searched the Cochrane Central Register of Controlled Trials (CENTRAL) in the Cochrane Library, Medline and Embase. The data, including demographic information, methodological quality, duration of follow‑up, clinical and radiographical outcomes, patient preferences and complications, were extracted. The methodological quality of the studies was assessed in accordance with the guidelines presented in the Cochrane Handbook for Systematic Reviews of Interventions. Nine trials, studying 1,821 knees, were eligible for data extraction and meta‑analysis. The Knee Society score and the maximum knee flexion demonstrated no difference between the FB and MB groups (P=0.47 and P=0.72, respectively). Similarly, no difference was revealed between the groups for radiological outcomes or general health results. An increased number of high‑quality RCTs with long‑term follow‑ups are required to validate the results.
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July 2013
Volume 6 Issue 1

Print ISSN: 1792-0981
Online ISSN:1792-1015

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Spandidos Publications style
Cheng M, Chen D, Guo Y, Zhu C and Zhang X: Comparison of fixed- and mobile-bearing total knee arthroplasty with a mean five-year follow-up: A meta-analysis. Exp Ther Med 6: 45-51, 2013
APA
Cheng, M., Chen, D., Guo, Y., Zhu, C., & Zhang, X. (2013). Comparison of fixed- and mobile-bearing total knee arthroplasty with a mean five-year follow-up: A meta-analysis. Experimental and Therapeutic Medicine, 6, 45-51. https://doi.org/10.3892/etm.2013.1122
MLA
Cheng, M., Chen, D., Guo, Y., Zhu, C., Zhang, X."Comparison of fixed- and mobile-bearing total knee arthroplasty with a mean five-year follow-up: A meta-analysis". Experimental and Therapeutic Medicine 6.1 (2013): 45-51.
Chicago
Cheng, M., Chen, D., Guo, Y., Zhu, C., Zhang, X."Comparison of fixed- and mobile-bearing total knee arthroplasty with a mean five-year follow-up: A meta-analysis". Experimental and Therapeutic Medicine 6, no. 1 (2013): 45-51. https://doi.org/10.3892/etm.2013.1122