No clinical difference between fixed- and mobile-bearing cruciate-retaining total knee arthroplasty: a prospective randomized study

Verfasser / Beitragende:
[O. Bailey, K. Ferguson, E. Crawfurd, P. James, P. May, S. Brown, M. Blyth, W. Leach]
Ort, Verlag, Jahr:
2015
Enthalten in:
Knee Surgery, Sports Traumatology, Arthroscopy, 23/6(2015-06-01), 1653-1659
Format:
Artikel (online)
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024 7 0 |a 10.1007/s00167-014-2877-9  |2 doi 
035 |a (NATIONALLICENCE)springer-10.1007/s00167-014-2877-9 
245 0 0 |a No clinical difference between fixed- and mobile-bearing cruciate-retaining total knee arthroplasty: a prospective randomized study  |h [Elektronische Daten]  |c [O. Bailey, K. Ferguson, E. Crawfurd, P. James, P. May, S. Brown, M. Blyth, W. Leach] 
520 3 |a Purpose: It is hypothesized that mobile polyethylene bearings in total knee arthroplasty (TKA) may confer benefits with regard to range of motion and have improved clinical outcome scores in comparison with an arthroplasty with a fixed-bearing design. Our study compares clinical outcomes between patients who undergo TKA with either a rotating platform or fixed bearing using a posterior cruciate-retaining design. Methods: Three hundred and thirty-one patients were randomized to receive either a rotating-platform (161 patients) or a fixed-bearing (170 patients) implant. All patients were assessed pre-operatively and at 1 and 2years post-operatively using standard tools (range of movement, Oxford Knee Score, American Knee Society Score, SF12 and Patella Score). Results: There was no difference in pre- to 2-year post-operative outcomes between the groups with regard to improvement in range of motion (10°±16 vs. 9°±15), improvement in Oxford Knee Score (−17.6±9.9 vs. −19.1±8.4), improvement in American Knee Society Score (49.5±24.7 vs. 50.7±21.0), function (23.6±19.6 vs. 25.0±22.5) and pain (34.9±16.2 vs. 35.8±14.1) subscores, improvement in SF12 Score (10.0±16.3 vs. 12.3±15.8) or improvement in Patella Score (9.7±7.4 vs. 10.6±7.1). Conclusion: No difference was demonstrated in clinical outcome between patients with a rotating-platform and fixed-bearing posterior cruciate-retaining TKA at 2-year follow-up. Level of evidence: I. 
540 |a Springer-Verlag Berlin Heidelberg, 2014 
690 7 |a Knee  |2 nationallicence 
690 7 |a Arthroplasty  |2 nationallicence 
690 7 |a Mobile-bearing  |2 nationallicence 
690 7 |a Rotating-platform  |2 nationallicence 
690 7 |a Fixed-bearing  |2 nationallicence 
700 1 |a Bailey  |D O.  |u Western Infirmary, Dumbarton Road, G11 6NT, Glasgow, UK  |4 aut 
700 1 |a Ferguson  |D K.  |u Royal Infirmary, Glasgow, UK  |4 aut 
700 1 |a Crawfurd  |D E.  |u Northampton General Hospital, Northampton, UK  |4 aut 
700 1 |a James  |D P.  |u Nottingham City Hospital, Nottingham, UK  |4 aut 
700 1 |a May  |D P.  |u Western Infirmary, Dumbarton Road, G11 6NT, Glasgow, UK  |4 aut 
700 1 |a Brown  |D S.  |u Northampton General Hospital, Northampton, UK  |4 aut 
700 1 |a Blyth  |D M.  |u Royal Infirmary, Glasgow, UK  |4 aut 
700 1 |a Leach  |D W.  |u Western Infirmary, Dumbarton Road, G11 6NT, Glasgow, UK  |4 aut 
773 0 |t Knee Surgery, Sports Traumatology, Arthroscopy  |d Springer Berlin Heidelberg  |g 23/6(2015-06-01), 1653-1659  |x 0942-2056  |q 23:6<1653  |1 2015  |2 23  |o 167 
856 4 0 |u https://doi.org/10.1007/s00167-014-2877-9  |q text/html  |z Onlinezugriff via DOI 
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900 7 |a Metadata rights reserved  |b Springer special CC-BY-NC licence  |2 nationallicence 
908 |D 1  |a research-article  |2 jats 
949 |B NATIONALLICENCE  |F NATIONALLICENCE  |b NL-springer 
950 |B NATIONALLICENCE  |P 856  |E 40  |u https://doi.org/10.1007/s00167-014-2877-9  |q text/html  |z Onlinezugriff via DOI 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Bailey  |D O.  |u Western Infirmary, Dumbarton Road, G11 6NT, Glasgow, UK  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Ferguson  |D K.  |u Royal Infirmary, Glasgow, UK  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Crawfurd  |D E.  |u Northampton General Hospital, Northampton, UK  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a James  |D P.  |u Nottingham City Hospital, Nottingham, UK  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a May  |D P.  |u Western Infirmary, Dumbarton Road, G11 6NT, Glasgow, UK  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Brown  |D S.  |u Northampton General Hospital, Northampton, UK  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Blyth  |D M.  |u Royal Infirmary, Glasgow, UK  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Leach  |D W.  |u Western Infirmary, Dumbarton Road, G11 6NT, Glasgow, UK  |4 aut 
950 |B NATIONALLICENCE  |P 773  |E 0-  |t Knee Surgery, Sports Traumatology, Arthroscopy  |d Springer Berlin Heidelberg  |g 23/6(2015-06-01), 1653-1659  |x 0942-2056  |q 23:6<1653  |1 2015  |2 23  |o 167