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Comparison of Mobile Bearing and Fixed Bearing Total Knee Arthroplasty Outcomes: A Review of the Literature

机译:移动轴承和固定轴承全膝关节置换术结果的比较:文献综述

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To better compare the outcomes between fixed bearing (FB) and mobile bearing (MB) total knee arthroplasty (TKA) a review of the literature was carried out to determine any published differences. An extensive literature search utilizing PubMed was carried out to identify all publications concerning MB and FB TKA. Once studies were identified from set inclusion criteria the groups (27 studies in total) were categorically compared for differences in instability, persistent pain, loosening, radiolucencies, knee society pain and function scores as well as range of motion (ROM). ROM comparisons favored MB (P=0.03, eight studies) statistically but not clinically (3° ROM difference), and the incidence of tibial radiolucent lines improved with the use of MB TKA (P= 0.03, eight studies) while all other categories were found not to be significantly different (p values of 0.1-0.72). This up to date comparison of the literature found MB and FB TKA outcomes to be comparable.
机译:为了更好地比较固定轴承(FB)和移动轴承(MB)总膝关节置换术(TKA)的结果进行了对文献的回顾,以确定任何公布的差异。利用PUBMED进行广泛的文献搜索,以识别MB和FB TKA的所有出版物。一旦从集合纳入标准中鉴定了研究,这些组(总共27项)分类地比较了不稳定性,持续疼痛,松动,辐射,膝关节疼痛和功能分数以及运动范围(ROM)的差异。 ROM比较有利于MB(P = 0.03,八项研究)统计而不是临床上(3°ROM差异),并且使用MB TKA的使用(P = 0.03,8研究)而改善了胫骨叠加线的发病率,而所有其他类别发现不具有显着差异(P值为0.1-0.72)。这对文献的最新比较发现了MB和FB TKA结果是可比的。

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