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

被引:9
|
作者
Amaro, Joicemar Tarouco [1 ]
Arliani, Gustavo Goncalves [1 ]
Astur, Diego Costa [1 ]
Debieux, Pedro [2 ]
Kaleka, Camila Cohen [3 ]
Cohen, Moises [1 ]
机构
[1] Univ Fed Sao Paulo, Ctr Traumatol Esporte CETE, Dept Ortopedia & Traumatol, Rua Borges Lagoa 783,5 Andar, BR-04038032 Sao Paulo, SP, Brazil
[2] Univ Fed Sao Paulo, Dept Ortopedia & Traumatol, Sao Paulo, SP, Brazil
[3] Fac Ciencias Med Santa Casa Sao Paulo, Dept Ortopedia & Traumatol, Grp Joelho, Sao Paulo, SP, Brazil
关键词
Arthroplasty; Replacement; Knee; Pain; Clinical trial; REPLACEMENTS; PERFORMANCE; KINEMATICS; ROTATION;
D O I
10.1007/s00167-016-4106-1
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
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.
引用
收藏
页码:1692 / 1696
页数:5
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