Reduced patellofemoral and walking pain with mobile-bearing vs. fixed-bearing total knee replacements: a mid-term prospective analytic study

Jose Luis PAİS-BRİTO; Belen RAFOLS-URQUİZA; Leon GONZALEZ-MASSİEU; Mario HERRERA-PEREZ; Maria ACİEGO-DE MENDOZA; Josep DE BERGUA-DOMİNGO

Makale detayları

Reduced patellofemoral and walking pain with mobile-bearing vs. fixed-bearing total knee replacements: a mid-term prospective analytic study

Yazarlar:

Jose Luis PAİS-BRİTO | Belen RAFOLS-URQUİZA | Leon GONZALEZ-MASSİEU | Mario HERRERA-PEREZ | Maria ACİEGO-DE MENDOZA | Josep DE BERGUA-DOMİNGO

Yayıncı:

Turkish Association of Orthopaedics and Traumatology

Dergi:

Acta Orthopaedica et Traumatologica Turcica 2015 Vol.49 Issue 4, pp.375-381

Belge Tipi:

Makale

Yayın Tarihi:

8/2015

Belge Dili:

İngilizce

Document ID (Org No.):

2000811105

Sıklık:

İki Aylık

eISSN:

1017-995X

pISSN:

1017-995X

Özet:

 


Objective: Total knee replacement (TKR) is the standard treatment for advanced stage knee osteoarthritis. The introduction of the mobile-bearing (MB) design has given rise to a series of theoretical advantages compared to fixed-bearing (FB) implants, although current literature does not reveal significant differences between the designs. The aim of this study was to estimate the clinical results of 2 cemented total knee prosthetic designs: an MB and an FB design.Methods: A series of patients with similar clinical and radiographic characteristics were treated consecutively with 100 FB followed by 94 MB implants. Patients were evaluated radiographically and clinically.Results: Statistically significant differences were found in terms of pain at 5 years in favor of MB prostheses (p=0.006). The “pain on ascending/descending stairs” category on the KSS score showed improvement at 5 years for the MB design (p=0.003). MB implants showed better results in terms of ability to ascend/descend stairs at five years (p=0.002). With regards to the patients’ ability to walk, there were differences at 1 year (p=0.020) and at 5 years (p=0.021) in favor of MB implants.Conclusion: At a mean follow-up of 5 years, significant differences were observed in the MB prosthesis in terms of postoperative pain, ability to ascend/descend stairs, and patellofemoral pain.

 

 

DOI: 10.3944/AOTT.2015.14.0299

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Makale detayları

Reduced patellofemoral and walking pain with mobile-bearing vs. fixed-bearing total knee replacements: a mid-term prospective analytic study

Yazarlar: Jose Luis PAİS-BRİTO | Belen RAFOLS-URQUİZA | Leon GONZALEZ-MASSİEU | Mario HERRERA-PEREZ | Maria ACİEGO-DE MENDOZA | Josep DE BERGUA-DOMİNGO

Yayıncı: Turkish Association of Orthopaedics and Traumatology

Dergi: Acta Orthopaedica et Traumatologica Turcica 2015 Vol.49 Issue 4, pp.375-381

Belge Tipi: Makale

Yayın Tarihi: 8/2015

Belge Dili: İngilizce

Document ID (Org No.): 2000811105

Sıklık: İki Aylık

eISSN: 1017-995X

pISSN: 1017-995X

Sayı

Yazarlar:

Jose Luis PAİS-BRİTO | Belen RAFOLS-URQUİZA | Leon GONZALEZ-MASSİEU | Mario HERRERA-PEREZ | Maria ACİEGO-DE MENDOZA | Josep DE BERGUA-DOMİNGO

Yayıncı:

Turkish Association of Orthopaedics and Traumatology

Dergi:

Acta Orthopaedica et Traumatologica Turcica 2015 Vol.49 Issue 4, pp.375-381

Belge Tipi:

Makale

Yayın Tarihi:

8/2015

Belge Dili:

İngilizce

Document ID (Org No.):

2000811105

Sıklık:

İki Aylık

eISSN:

1017-995X

pISSN:

1017-995X