Does the method of component fixation influence clinical outcomes after total knee replacement? A systematic literature review
| Autor: | Dominic Thewlis, John B. Arnold, Lucian B. Solomon, Julie L. Walters |
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| Přispěvatelé: | Arnold, John Bradley, Walters, Julie Lynette, Solomon, Lucian, Thewlis, Dominic |
| Rok vydání: | 2012 |
| Předmět: |
musculoskeletal diseases
cement medicine.medical_specialty total knee arthroplasty cementless medicine.medical_treatment Total knee replacement clinical outcome Prosthesis law.invention Randomized controlled trial law Medicine Humans Orthopedics and Sports Medicine Arthroplasty Replacement Knee Cementation Fixation (histology) Randomized Controlled Trials as Topic fixation business.industry Patella Uncemented fixation Critical appraisal Systematic review Treatment Outcome Physical therapy Posterior Cruciate Ligament business Component fixation |
| Zdroj: | The Journal of arthroplasty. 28(5) |
| ISSN: | 1532-8406 |
| Popis: | A systematic literature review was conducted to identify the best available evidence describing the differences in clinical outcome associated with the different methods of total knee replacement (TKR) fixation. Randomized trials published between 1980 and January 2011 comparing differences in clinical outcome scores between groups allocated to either cemented or uncemented fixation for TKR were included. Nine of the 11 studies included in the review reported no significant differences in clinical outcomes between groups with either cemented or uncemented prosthesis components. Critical appraisal of methodological bias revealed consistent shortcomings in study design and execution. It is apparent that more rigorous studies with longer follow-up periods are required to verify which method of fixation may be preferable in enhancing clinical outcomes. Refereed/Peer-reviewed |
| Databáze: | OpenAIRE |
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