Comparison of functional outcomes between single-radius and multi-radius femoral components in primary total knee arthroplasty: a meta-analysis of randomized controlled trials

Autor:	Jeong Seok Lee, Suyeon Park, Jun-Bum Kim, Byung-Ill Lee, Yong-Beom Kim, Sai-Won Kwon, Dong-Il Chun, Jahyung Kim, Gi-Won Seo, Kyung-Dae Min, Hyung-Suk Choi
Rok vydání:	2020
Předmět:	musculoskeletal diseases medicine.medical_specialty Total knee arthroplasty Osteoarthritis Review Article Single-radius law.invention lcsh:Orthopedic surgery Randomized controlled trial law Postoperative infection Medicine Orthopedics and Sports Medicine business.industry Functional outcome medicine.disease musculoskeletal system Multi-radius femoral component lcsh:RD701-811 Meta-analysis Orthopedic surgery Physical therapy Surgery Single radius business Oxford knee score
Zdroj:	Knee Surgery & Related Research Knee Surgery & Related Research, Vol 32, Iss 1, Pp 1-12 (2020)
ISSN:	2234-0726
Popis:	PurposeOur purpose in the current meta-analysis was to compare the functional outcomes in patients who have received single-radius (SR) or multi-radius (MR) femoral components in randomized controlled trials (RCTs) for primary total knee arthroplasty (TKA). The hypothesis was that there would be no statistically significant difference between two groups in terms of functional outcomes.Materials and methodsWe searched the international electronic databases PubMed, Embase, and the Cochrane Central Register of Controlled Trials up to February 2020 for RCTs that compared functional outcomes of SR and MR femoral component designs after primary TKA. We performed a meta-analysis of nine RCTs using the Knee Society Score for the knee (KSS-knee), KSS-function, Knee Injury and Osteoarthritis Outcome Score (KOOS), Oxford Knee Score (OKS), degree of knee flexion, extension, and complications, including postoperative infection and revision surgery.ResultsThe meta-analysis revealed no statistically significant differences in all the analyzed variables, including KSS-knee, KSS-function, KOOS, OKS, knee flexion, and knee extension. For postoperative complications, no statistically significant differences were detected for femoral component designs in postoperative infection or incidence of revision surgery between the two groups.ConclusionsThe current meta-analysis of RCTs did not show any statistically significant differences between SR and MR femoral component designs in terms of postoperative functional outcomes. Evaluated outcomes included functional outcome scores, degree of knee flexion, extension, and complications. However, because of the limited clinical evidence of this study owing to the heterogeneity between the included RCTs, a careful approach should be made in order not to arrive at definite conclusions.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_dedup___::0d8c24b4158f91f26ef81a4f4cfa3174 https://pubmed.ncbi.nlm.nih.gov/33008475 Zobrazit plný text záznamu Plný text ve formátu PDF Plný text ve formátu HTML
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