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Comparison of functional outcomes between single-radius and multi-radius femoral components in primary total knee arthroplasty: a meta-analysis of randomized controlled trials

Chun Dong-Il|Lee Jeong Seok|Kim Jahyung|Min Kyung-Dae|Lee Byung-Ill|Kim Jun-Bum|Kwon Sai-Won|Kim Yong-Beom|Seo Gi-Won|Park Suyeon|Choi Hyung-Suk
대한슬관절학회 (Korean Knee Society)|2020.12|Knee Surgery and Related Research|제32권 |pp. 52-52|DOI 10.1186/s43019-020-00067-y

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키워드

Meta-analysisRandomized controlled trialTotal knee arthroplastyFunctional outcomeSingle-radiusMulti-radius femoral component

초록

Our purpose in the current meta-analysis was to compare the functional outcomes in patients who have received single-radius (SR) or multi-radius (MR) femoral components in randomized controlled trials (RCTs) for primary total knee arthroplasty (TKA). The hypothesis was that there would be no statistically significant difference between two groups in terms of functional outcomes.We searched the international electronic databases PubMed, Embase, and the Cochrane Central Register of Controlled Trials up to February 2020 for RCTs that compared functional outcomes of SR and MR femoral component designs after primary TKA. We performed a meta-analysis of nine RCTs using the Knee Society Score for the knee (KSS-knee), KSS-function, Knee Injury and Osteoarthritis Outcome Score (KOOS), Oxford Knee Score (OKS), degree of knee flexion, extension, and complications, including postoperative infection and revision surgery.The meta-analysis revealed no statistically significant differences in all the analyzed variables, including KSS-knee, KSS-function, KOOS, OKS, knee flexion, and knee extension. For postoperative complications, no statistically significant differences were detected for femoral component designs in postoperative infection or incidence of revision surgery between the two groups.The current meta-analysis of RCTs did not show any statistically significant differences between SR and MR femoral component designs in terms of postoperative functional outcomes. Evaluated outcomes included functional outcome scores, degree of knee flexion, extension, and complications. However, because of the limited clinical evidence of this study owing to the heterogeneity between the included RCTs, a careful approach should be made in order not to arrive at definite conclusions.

Abstract

Our purpose in the current meta-analysis was to compare the functional outcomes in patients who have received single-radius (SR) or multi-radius (MR) femoral components in randomized controlled trials (RCTs) for primary total knee arthroplasty (TKA). The hypothesis was that there would be no statistically significant difference between two groups in terms of functional outcomes.We searched the international electronic databases PubMed, Embase, and the Cochrane Central Register of Controlled Trials up to February 2020 for RCTs that compared functional outcomes of SR and MR femoral component designs after primary TKA. We performed a meta-analysis of nine RCTs using the Knee Society Score for the knee (KSS-knee), KSS-function, Knee Injury and Osteoarthritis Outcome Score (KOOS), Oxford Knee Score (OKS), degree of knee flexion, extension, and complications, including postoperative infection and revision surgery.The meta-analysis revealed no statistically significant differences in all the analyzed variables, including KSS-knee, KSS-function, KOOS, OKS, knee flexion, and knee extension. For postoperative complications, no statistically significant differences were detected for femoral component designs in postoperative infection or incidence of revision surgery between the two groups.The current meta-analysis of RCTs did not show any statistically significant differences between SR and MR femoral component designs in terms of postoperative functional outcomes. Evaluated outcomes included functional outcome scores, degree of knee flexion, extension, and complications. However, because of the limited clinical evidence of this study owing to the heterogeneity between the included RCTs, a careful approach should be made in order not to arrive at definite conclusions.

참고문헌 (49)

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관련 논문AI추천

Is Single-Radius Design Better for Quadriceps Recovery in Total Knee Arthroplasty?김강일, 이상학, Dae-Kyung Bae,, Dong-Kyoon Kim, Duk-Hyun Kim대한슬관절학회 · Knee Surgery and Related Research2015 · 제27권 제4호Outcomes of the Different Types of Total Knee Arthroplasty with the Identical Femoral Geometry성상철, 이명철, 이상훈, 최원철, Sang Min Lee대한슬관절학회 · Knee Surgery and Related Research2012 · 제24권 제4호Early functional outcomes after condylar-stabilizing (deep-dish) versus standard bearing surface for cruciate-retaining total knee arthroplastyD. MacDonald, G. J. Macpherson, J. T. Patton, N. D. Clement, P. Stirling, R. Burnett대한슬관절학회 · Knee Surgery and Related Research2019 · 제31권 제1호Mid-term Results of Single-Radius Cruciate Retaining Total Knee Arthroplasty: Minimum 5 Year Follow-up김광미, 전근철, 전철홍, 황재선대한슬관절학회 · Knee Surgery and Related Research2013 · 제25권 제4호Implant survivorship, functional outcomes and complications with the use of rotating hinge knee implants: a systematic reviewAbtin Alvand, Andrew J. Price, Joshua Xu, Lennart von Fritsch, Shiraz A. Sabah대한슬관절학회 · Knee Surgery and Related Research2022 · 제34권 Is the patient aware of the difference between resurfaced and nonresurfaced patella after bilateral total knee arthroplasty? A systematic review of simultaneous bilateral randomized trials인용, 고인준, 김만수, Choi Keun Young, Sohn Sueen대한슬관절학회 · Knee Surgery and Related Research2022 · 제34권

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