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Published on: January 24, 2018
Clinical and radiological outcomes of fixed- versus mobile-bearing total knee replacement: a meta-analysis
Toby O Smith1, Farshid Ejtehadi, Rachel Nichols
1Institute of Orthopaedics, Norfolk and Norwich University Hospital, Colney Lane, Norwich, Norfolk NR2 7UY, UK. toby.smith@nnuh.nhs.uk
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designs using a meta-analysis of the electronic databases MEDLINE, EMBASE, CINAHL and AMED in addition to a review of unpublished material.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.