Medizinische Universität Graz Austria/Österreich - Forschungsportal - Medical University of Graz
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SHR Neuro Krebs Kardio Lipid Stoffw Microb
Wagner, A; Wittig, U; Leitner, L; Vielgut, I; Hauer, G; Ortmaier, R; Leithner, A; Sadoghi, P.
Comparison of revision rates and epidemiological data of a single total knee arthroplasty system of different designs (cruciate retaining, posterior stabilized, mobile bearing, and fixed bearing): a meta-analysis and systematic review of clinical trials and national arthroplasty registries.
Arch Orthop Trauma Surg. 2024; 144(5):1997-2006
Doi: 10.1007/s00402-024-05286-6
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- Führende Autor*innen der Med Uni Graz
- Sadoghi Patrick
- Co-Autor*innen der Med Uni Graz
- Hauer Georg
- Leithner Andreas
- Leitner Lukas
- Vielgut Ines
- Wittig Ulrike
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- Abstract:
- BACKGROUND: This study aimed to meta-analyze epidemiological data, revision rates, and incidences of different designs of a single Total Knee Arthroplasty System and compare these factors across different countries. METHODS: A systematic review was conducted on clinical studies and arthroplasty registries of ATTUNE TKA from 1999 to 2020. The main endpoints analyzed were revision rates and epidemiological data. RESULTS: The average age of patients was 67.8 years, with a gender distribution of 60% female and 40% male. The pooled average BMI was 29.4 kg/m2. Eight clinical studies showed a pooled revision rate per 100 observed CY of 0.5 (n = 1343 cases). Cumulative revision rates after 1, 3, and 5 years varied among registries, with the Swiss registry having the highest revision data (after 5 years: 6.3%) and the American registry having the lowest revision data (after 5 years: 1.7%). A comparison of the revision rates of mobile bearing and fixed bearing (41,200 cases) as well as cruciate retaining and posterior stabilized (n = 123,361 cases) showed no significant advantage in the first 5 years after implantation. CONCLUSION: In conclusion, pooled data from 41,200 cases of TKA with a single Total Knee Arthroplasty System in two arthroplasty registries revealed that there was no significant difference in revision rates between the mobile bearing and fixed bearing design within the first 5 years after implantation. In addition, a comparison of the revision rates in n = 123,361 cases showed no significant advantage for cruciate retaining or posterior stabilized in the first 5 years after implantation.
- Find related publications in this database (using NLM MeSH Indexing)
- Humans - administration & dosage
- Arthroplasty, Replacement, Knee - statistics & numerical data, methods
- Reoperation - statistics & numerical data
- Registries - administration & dosage
- Knee Prosthesis - administration & dosage
- Prosthesis Design - administration & dosage
- Male - administration & dosage
- Female - administration & dosage
- Prosthesis Failure - administration & dosage
- Clinical Trials as Topic - statistics & numerical data
- Aged - administration & dosage
- Find related publications in this database (Keywords)
- Attune knee system
- Total knee arthroplasty
- Fixed bearing
- Mobile bearing
- Cruciate retaining
- Posterior stabilized