Medizinische Universität Graz Austria/Österreich - Forschungsportal - Medical University of Graz
Gewählte Publikation:
SHR Neuro Krebs Kardio Lipid Stoffw Microb
Ruckenstuhl, P; Revelant, F; Hauer, G; Bernhardt, GA; Leitner, L; Gruber, G; Leithner, A; Sadoghi, P.
No difference in clinical outcome, pain, and range of motion between fixed and mobile bearing Attune total knee arthroplasty: a prospective single-center trial.
BMC Musculoskelet Disord. 2022; 23(1):413
Doi: 10.1186/s12891-022-05382-x
[OPEN ACCESS]
Web of Science
PubMed
FullText
FullText_MUG
- Führende Autor*innen der Med Uni Graz
- Ruckenstuhl Paul
- Sadoghi Patrick
- Co-Autor*innen der Med Uni Graz
- Bernhardt Gerwin
- Gruber Gerald
- Hauer Georg
- Leithner Andreas
- Leitner Lukas
- Altmetrics:
- Dimensions Citations:
- Plum Analytics:
- Scite (citation analytics):
- Abstract:
- BACKGROUND: Despite numerous scientific investigations, the tribological advantages of mobile bearing inserts have not been sustainably confirmed or refuted for modern knee prostheses in clinical studies. The purpose of this study was to compare fixed and mobile bearing inserts in order to draw conclusions regarding clinical benefits. METHODS: The present prospective single center cohort study of 2 non-randomized stratified groups consisted of 67 patients. All included patients received cemented total knee arthroplasty (Attune®) due to osteoarthritis. 34 patients were treated with a mobile and 33 patients with a fixed insert. The WOMAC score and the Visual Analogue Scale was used for the subjective assessment of success, while the Knee-Society-Score was used considering the Range of Motion for the objective assessment. The subjective and the clinical scores showed improvements for both compared groups postoperatively at 2 years of minimum follow-up. RESULTS: The overall postoperative results of the WOMAC score, the Knee-Society-Score and the Visual Analogue Scale presented no statistically difference between the compared groups (p > 0,05). The postoperative ROM showed a superior improvement of 13.2° ± 18.4° in the mobile-bearing group versus 4.9° ± 18.4° (p = 0.017) in the fixed-bearing group. The flexion of the knee joint was 114° ± 10.1° for the mobile-bearings and 109.2° ± 7.2° for fixed bearings (p = 0.012). CONCLUSION: According to the findings, both inserts showed overall promising postoperative results, in terms of objective as well as subjective parameters, without clinically relevant significant differences, except for ROM, which was superior in the mobile bearing group. The present clinical trial has been registered at the ISRCTN registry with the reverence number ISRCTN15117998 on 04/04/2022.
- Find related publications in this database (using NLM MeSH Indexing)
- Arthroplasty, Replacement, Knee - adverse effects, methods
- Cohort Studies - administration & dosage
- Humans - administration & dosage
- Osteoarthritis, Knee - surgery
- Pain - surgery
- Prospective Studies - administration & dosage
- Prosthesis Design - administration & dosage
- Range of Motion, Articular - administration & dosage
- Find related publications in this database (Keywords)
- Total knee arthroplasty
- Fixed bearing
- Mobile bearing