Mobile-Bearing Total Knee Arthroplasty
Autor: | Zachary D. Post, Eric L. Grossman, Tim van de Leur, Matthew S. Austin, Wadih Y. Matar |
---|---|
Rok vydání: | 2010 |
Předmět: |
musculoskeletal diseases
medicine.medical_specialty business.industry Total knee arthroplasty Knee kinematics Kinematics Patient preference humanities Fixed bearing Physical medicine and rehabilitation Survivorship curve Physical therapy medicine Orthopedics and Sports Medicine Mobile bearing Range of motion business |
Zdroj: | The Journal of Arthroplasty. 25:998-1003 |
ISSN: | 0883-5403 |
DOI: | 10.1016/j.arth.2009.07.014 |
Popis: | The purported advantages of mobile-bearing knee include increased survivorship and restoration of more natural knee kinematics compared to a standard fixed-bearing design. To evaluate these claims, an extensive review of the available literature was undertaken. We compared survivorship and clinical function, including patient preference. We found no difference in survivorship at 12 to 23 years. Kinematic profiles of both designs did not differ significantly: rotation, flexion, and extension were comparable. Studies evaluating both designs in the same patient showed no difference in range of motion, knee preference, knee scores, and survivorship at midterm follow-up. Both designs were capable of producing excellent long-term results and clinical outcomes if properly implanted. The available evidence does not point to the superiority of one design over another in survivorship and clinical function. |
Databáze: | OpenAIRE |
Externí odkaz: |