Survivorship of fixed vs mobile bearing unicompartmental knee replacement: A systematic review and meta-analysis of sixty-four studies and National Joint Registries
被引:17
作者:
Abu Al-Rub, Z.
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Leeds Teaching Hosp NHS Trust, Beckett St, Leeds LS9 7TF, W Yorkshire, EnglandUniv Leeds, Leeds Inst Rheumat & Musculoskeletal Med LIRMM, Sch Med, Chapel Allerton Hosp, Leeds LS7 4SA, W Yorkshire, England
Abu Al-Rub, Z.
[2
]
Lamb, J. N.
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Univ Leeds, Leeds Inst Rheumat & Musculoskeletal Med LIRMM, Sch Med, Chapel Allerton Hosp, Leeds LS7 4SA, W Yorkshire, England
Leeds Teaching Hosp NHS Trust, Beckett St, Leeds LS9 7TF, W Yorkshire, EnglandUniv Leeds, Leeds Inst Rheumat & Musculoskeletal Med LIRMM, Sch Med, Chapel Allerton Hosp, Leeds LS7 4SA, W Yorkshire, England
Lamb, J. N.
[1
,2
]
West, R. M.
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Univ Leeds, Sch Med, Leeds Inst Hlth Sci, Leeds LS2 9NL, W Yorkshire, EnglandUniv Leeds, Leeds Inst Rheumat & Musculoskeletal Med LIRMM, Sch Med, Chapel Allerton Hosp, Leeds LS7 4SA, W Yorkshire, England
West, R. M.
[3
]
Yang, X.
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Xiangya Hosp, 87 Xiangya Rd, Changsha, Hunan, Peoples R ChinaUniv Leeds, Leeds Inst Rheumat & Musculoskeletal Med LIRMM, Sch Med, Chapel Allerton Hosp, Leeds LS7 4SA, W Yorkshire, England
Yang, X.
[4
]
Hu, Y.
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Xiangya Hosp, 87 Xiangya Rd, Changsha, Hunan, Peoples R ChinaUniv Leeds, Leeds Inst Rheumat & Musculoskeletal Med LIRMM, Sch Med, Chapel Allerton Hosp, Leeds LS7 4SA, W Yorkshire, England
Hu, Y.
[4
]
Pandit, H. G.
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Univ Leeds, Leeds Inst Rheumat & Musculoskeletal Med LIRMM, Sch Med, Chapel Allerton Hosp, Leeds LS7 4SA, W Yorkshire, England
Leeds Teaching Hosp NHS Trust, Beckett St, Leeds LS9 7TF, W Yorkshire, EnglandUniv Leeds, Leeds Inst Rheumat & Musculoskeletal Med LIRMM, Sch Med, Chapel Allerton Hosp, Leeds LS7 4SA, W Yorkshire, England
Pandit, H. G.
[1
,2
]
机构:
[1] Univ Leeds, Leeds Inst Rheumat & Musculoskeletal Med LIRMM, Sch Med, Chapel Allerton Hosp, Leeds LS7 4SA, W Yorkshire, England
[2] Leeds Teaching Hosp NHS Trust, Beckett St, Leeds LS9 7TF, W Yorkshire, England
[3] Univ Leeds, Sch Med, Leeds Inst Hlth Sci, Leeds LS2 9NL, W Yorkshire, England
[4] Xiangya Hosp, 87 Xiangya Rd, Changsha, Hunan, Peoples R China
Background: Unicompartmental knee replacement (UKR) prostheses can use fixed (FB) or mobile bearing (MB) constructs. We compared survivorship and failure modes of both designs. Methods: The inclusion criteria were studies published between 2005 and 2020 with minimum average follow-up of five years reporting the survival andior number of revisions of specific designs in medial and lateral UKRs. Pooled rate of revision per 100 patient years (PTIR) was estimated using a random effects model. Results: Seventy cohorts of 17,405 UKRs with weighted mean follow-up of 7.3 years (0.1-29.4 years) were included. A total of 170,923 UKRs were identified in registry reports at a weighted mean implant survival time of 15.4 years. PTIR in MB UKR versus FB UKR was similar [1.45 vs 1.40, (p = 0.8)]. In cohort studies, the overall PTIR for MB was also similar to 113 [1.03 vs 0.78, (p = 0.1)]. For medial UKR, the PTIR for MB was marginally greater but not significantly different to FB [0.96 vs 0.81, (p = 03)], whilst for lateral UKR, the PTIR for MB was significantly worse than for 113 [2.20 vs 0.72, (p < 0.01)]. Polyethylene wear is more common in 113 implants, whilst MB implants are revised more often for bearing dislocation. Conclusions: Overall implant survival in mid- to long-term studies is similar for MB versus FB medial UKRs. MB have a four-fold higher risk of revision in comparison to FB when used for lateral UKR. Crown Copyright (C) 2020 Published by Elsevier B.V. All rights reserved.
机构:
Cornell Univ, Hosp Special Surg, Weill Med Coll, Dept Orthopaed Surg, New York, NY 10021 USA
Cornell Univ, Hosp Special Surg, Weill Med Coll, Comp Assisted Surg Ctr, New York, NY 10021 USASpaarne Gasthuis Hosp, Dept Orthopaed Surg, Spaarnepoort 1, NL-2134 TM Hoofddorp, Netherlands
机构:
Shenzhen Pingle Orthoped Hosp, Dept Orthoped, Shenzhen, Guangdong, Peoples R ChinaShenzhen Pingle Orthoped Hosp, Dept Orthoped, Shenzhen, Guangdong, Peoples R China
Cao, ZhenWu
;
Niu, Caili
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Guangzhou Univ Chinese Med Futian, Dept Orthoped, Shenzhen Hosp, Shenzhen, Guangdong, Peoples R ChinaShenzhen Pingle Orthoped Hosp, Dept Orthoped, Shenzhen, Guangdong, Peoples R China
Niu, Caili
;
Gong, ChunZhu
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Shenzhen Pingle Orthoped Hosp, Dept Orthoped, Shenzhen, Guangdong, Peoples R ChinaShenzhen Pingle Orthoped Hosp, Dept Orthoped, Shenzhen, Guangdong, Peoples R China
Gong, ChunZhu
;
Sun, Yong
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Shenzhen Pingle Orthoped Hosp, Dept Orthoped, Shenzhen, Guangdong, Peoples R ChinaShenzhen Pingle Orthoped Hosp, Dept Orthoped, Shenzhen, Guangdong, Peoples R China
Sun, Yong
;
Xie, JunHui
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Shenzhen Pingle Orthoped Hosp, Dept Orthoped, Shenzhen, Guangdong, Peoples R ChinaShenzhen Pingle Orthoped Hosp, Dept Orthoped, Shenzhen, Guangdong, Peoples R China
Xie, JunHui
;
Song, Yueli
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机构:
Shanghai Univ Tradit Chinese Med, Dept Orthoped, Shanghai, Peoples R ChinaShenzhen Pingle Orthoped Hosp, Dept Orthoped, Shenzhen, Guangdong, Peoples R China
机构:
Cornell Univ, Hosp Special Surg, Weill Med Coll, Dept Orthopaed Surg, New York, NY 10021 USA
Cornell Univ, Hosp Special Surg, Weill Med Coll, Comp Assisted Surg Ctr, New York, NY 10021 USASpaarne Gasthuis Hosp, Dept Orthopaed Surg, Spaarnepoort 1, NL-2134 TM Hoofddorp, Netherlands
机构:
Shenzhen Pingle Orthoped Hosp, Dept Orthoped, Shenzhen, Guangdong, Peoples R ChinaShenzhen Pingle Orthoped Hosp, Dept Orthoped, Shenzhen, Guangdong, Peoples R China
Cao, ZhenWu
;
Niu, Caili
论文数: 0引用数: 0
h-index: 0
机构:
Guangzhou Univ Chinese Med Futian, Dept Orthoped, Shenzhen Hosp, Shenzhen, Guangdong, Peoples R ChinaShenzhen Pingle Orthoped Hosp, Dept Orthoped, Shenzhen, Guangdong, Peoples R China
Niu, Caili
;
Gong, ChunZhu
论文数: 0引用数: 0
h-index: 0
机构:
Shenzhen Pingle Orthoped Hosp, Dept Orthoped, Shenzhen, Guangdong, Peoples R ChinaShenzhen Pingle Orthoped Hosp, Dept Orthoped, Shenzhen, Guangdong, Peoples R China
Gong, ChunZhu
;
Sun, Yong
论文数: 0引用数: 0
h-index: 0
机构:
Shenzhen Pingle Orthoped Hosp, Dept Orthoped, Shenzhen, Guangdong, Peoples R ChinaShenzhen Pingle Orthoped Hosp, Dept Orthoped, Shenzhen, Guangdong, Peoples R China
Sun, Yong
;
Xie, JunHui
论文数: 0引用数: 0
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机构:
Shenzhen Pingle Orthoped Hosp, Dept Orthoped, Shenzhen, Guangdong, Peoples R ChinaShenzhen Pingle Orthoped Hosp, Dept Orthoped, Shenzhen, Guangdong, Peoples R China
Xie, JunHui
;
Song, Yueli
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机构:
Shanghai Univ Tradit Chinese Med, Dept Orthoped, Shanghai, Peoples R ChinaShenzhen Pingle Orthoped Hosp, Dept Orthoped, Shenzhen, Guangdong, Peoples R China