No difference between fixed- and mobile-bearing total knee arthroplasty in activities of daily living and pain: a randomized clinical trial

No difference between fixed- and mobile-bearing total knee arthroplasty in activities of daily living and pain: a randomized clinical trial

Author Amaro, Joicemar Tarouco Autor UNIFESP Google Scholar
Arliani, Gustavo Goncalves Autor UNIFESP Google Scholar
Astur, Diego Costa Autor UNIFESP Google Scholar
Debieux, Pedro Autor UNIFESP Google Scholar
Kaleka, Camila Cohen Google Scholar
Cohen, Moises Autor UNIFESP Google Scholar
Abstract Until now, there are no definitive conclusions regarding functional differences related to middle- and long-term everyday activities and patient pain following implantation of mobile- and fixed-platform tibial prostheses. The aim of this study was to determine whether there are middle-term differences in knee function and pain in patients undergoing fixed- and mobile-bearing total knee arthroplasty (TKA). Eligible patients were randomized into two groups: the first group received TKA implantation with a fixed tibial platform (group A)

the second group received TKA with a mobile tibial platform (group B). Patients were followed up (2 years), and their symptoms and limitations in daily living activities were evaluated using the Knee Outcome Survey-Activities of Daily Living Scale (ADLS), in addition to pain evaluation assessed using the pain visual analogue scale (VAS). There were no significant differences in function and symptoms in the ADLS and VAS between the study groups. The type of platform used in TKA (fixed vs. mobile) does not change the symptoms, function or pain of patients 2 years post-surgery. Although mobile TKAs may have better short-term results, at medium- and long-term follow-up they do not present important clinical differences compared with fixed-platform TKAs. This information is important so that surgeons can choose the most suitable implant for each patient. Randomized clinical trial, Level I.
Keywords Arthroplasty
Replacement
Knee
Pain
Clinical trial
xmlui.dri2xhtml.METS-1.0.item-coverage New York
Language English
Date 2017
Published in Knee Surgery Sports Traumatology Arthroscopy. New York, v. 25, n. 6, p. 1692-1696, 2017.
ISSN 0942-2056 (Sherpa/Romeo, impact factor)
Publisher Springer
Extent 1692-1696
Origin http://dx.doi.org/10.1007/s00167-016-4106-1
Access rights Closed access
Type Article
Web of Science ID WOS:000402729500006
URI https://repositorio.unifesp.br/handle/11600/54371

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