A prospective randomised study comparing rotating platform and fixed bearing total knee arthroplasty in a cruciate substituting design — Outcomes at two year follow-up

Abstract Background Fixed bearing (FB) total knee replacement is a well established technique against which new techniques must be compared. Mobile bearing (MB) prostheses, in theory, reduce polyethylene wear but the literature is yet to provide evidence that they are superior in terms of function o...

Ausführliche Beschreibung

Gespeichert in:
Bibliographische Detailangaben
Veröffentlicht in:The knee 2014-01, Vol.21 (1), p.151-155
Hauptverfasser: Ferguson, K.B, Bailey, O, Anthony, I, James, P.J, Stother, I.G, M.J.G., Blyth
Format: Artikel
Sprache:eng
Schlagworte:
Online-Zugang:Volltext
Tags: Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
container_end_page 155
container_issue 1
container_start_page 151
container_title The knee
container_volume 21
creator Ferguson, K.B
Bailey, O
Anthony, I
James, P.J
Stother, I.G
M.J.G., Blyth
description Abstract Background Fixed bearing (FB) total knee replacement is a well established technique against which new techniques must be compared. Mobile bearing (MB) prostheses, in theory, reduce polyethylene wear but the literature is yet to provide evidence that they are superior in terms of function or long-term survivorship. In addition there has been no comparison of patella resurfacing on the outcome of either design. The aims of this randomised prospective study were firstly to determine whether a mobile bearing prosthesis produced better clinical outcome and range of motion at two year follow-up and secondly to assess the effect of patella resurfacing on the outcomes of both types of bearing design. Methods Three hundred fifty-two patients were randomised into receiving either a PFC Sigma© cruciate sacrificing total knee arthroplasty either with a mobile bearing or a fixed bearing, with a sub-randomisation to either patella resurfacing or patella retention. All patients participated with standard clinical outcome measures and had their range of motion measured both pre-operatively and at follow-up. Results The mobile bearing TKR design had no impact on range of motion; Oxford Knee Score and American Knee Society knee and function scores when compared to its fixed bearing equivalent. Conclusions At two year follow-up there was no difference between the PFC Sigma© fixed and mobile bearing designs. With no clinical difference between the cohorts, we cannot recommend one design over the other. Long term benefits, particularly with regards to polyethylene wear, may yet be demonstrated. Level of evidence — 1B.
doi_str_mv 10.1016/j.knee.2013.09.007
format Article
fullrecord <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_1490901431</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><els_id>1_s2_0_S0968016013001725</els_id><sourcerecordid>3182127071</sourcerecordid><originalsourceid>FETCH-LOGICAL-c439t-a258dc0af6df1eeb684835abc784dfbfa07bc058c36f4bae86f10e8fe3d58ab53</originalsourceid><addsrcrecordid>eNp9kk1u1TAUhSMEoo_CBhggS0w6SbiO8-NICKmq-JMqdQCMLce-Ln5N4mA7LZmxCDbBtlgJDq-A1AEje_Cd4-tzbpY9pVBQoM2LfXE1IRYlUFZAVwC097Id5S3Law5wP9tB1_A8kXCUPQphDwBNV9UPs6OyolUNDd9lP07J7F2YUUV7jcTLSbvRBtQkxEWvRLlxlt5Ol8S7KON2mQcZjfMjSSwx9mtiezwwMTED2aYi0sfP3iU2xJXYiUii_KKsjEjC0odo4_LbTWOwlxP5-e07uVhieg4DkZHEG0fW5EqMGwZ3ky_z4-yBkUPAJ7fncfbpzeuPZ-_y84u3789Oz3NVsS7msqy5ViBNow1F7BtecVbLXrW80qY3EtpeQc0Va0zVS-SNoYDcINM1l33NjrOTg2_K5cuCIYqUh8JhkBO6JQhaddABrRhN6PM76N4tfkrTJapt64qV0CWqPFAqBR08GjF7O0q_CgpiK1LsxRaZ2IoU0IlUZBI9u7Ve-hH1X8mf5hLw8gBgyuLaohdBWZwUautTmUI7-3__V3fkarCTVXK4whXDv3-IUAoQH7ZV2jaJMgDaljX7BVG6yaA</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1477543209</pqid></control><display><type>article</type><title>A prospective randomised study comparing rotating platform and fixed bearing total knee arthroplasty in a cruciate substituting design — Outcomes at two year follow-up</title><source>MEDLINE</source><source>Elsevier ScienceDirect Journals Complete</source><creator>Ferguson, K.B ; Bailey, O ; Anthony, I ; James, P.J ; Stother, I.G ; M.J.G., Blyth</creator><creatorcontrib>Ferguson, K.B ; Bailey, O ; Anthony, I ; James, P.J ; Stother, I.G ; M.J.G., Blyth</creatorcontrib><description>Abstract Background Fixed bearing (FB) total knee replacement is a well established technique against which new techniques must be compared. Mobile bearing (MB) prostheses, in theory, reduce polyethylene wear but the literature is yet to provide evidence that they are superior in terms of function or long-term survivorship. In addition there has been no comparison of patella resurfacing on the outcome of either design. The aims of this randomised prospective study were firstly to determine whether a mobile bearing prosthesis produced better clinical outcome and range of motion at two year follow-up and secondly to assess the effect of patella resurfacing on the outcomes of both types of bearing design. Methods Three hundred fifty-two patients were randomised into receiving either a PFC Sigma© cruciate sacrificing total knee arthroplasty either with a mobile bearing or a fixed bearing, with a sub-randomisation to either patella resurfacing or patella retention. All patients participated with standard clinical outcome measures and had their range of motion measured both pre-operatively and at follow-up. Results The mobile bearing TKR design had no impact on range of motion; Oxford Knee Score and American Knee Society knee and function scores when compared to its fixed bearing equivalent. Conclusions At two year follow-up there was no difference between the PFC Sigma© fixed and mobile bearing designs. With no clinical difference between the cohorts, we cannot recommend one design over the other. Long term benefits, particularly with regards to polyethylene wear, may yet be demonstrated. Level of evidence — 1B.</description><identifier>ISSN: 0968-0160</identifier><identifier>EISSN: 1873-5800</identifier><identifier>DOI: 10.1016/j.knee.2013.09.007</identifier><identifier>PMID: 24145068</identifier><language>eng</language><publisher>Netherlands: Elsevier B.V</publisher><subject>Adult ; Aged ; Aged, 80 and over ; Arthroplasty, Replacement, Knee - instrumentation ; Arthroplasty, Replacement, Knee - methods ; Female ; Fixed bearing ; Follow-Up Studies ; Humans ; Joint surgery ; Knee ; Knee arthroplasty ; Knee Prosthesis ; Male ; Middle Aged ; Mobile bearing ; Orthopedics ; Osteoarthritis, Knee - surgery ; Patella - surgery ; Patient Outcome Assessment ; Prospective Studies ; Prosthesis Design ; Range of Motion, Articular ; Studies ; Surgery ; Total knee arthroplasty</subject><ispartof>The knee, 2014-01, Vol.21 (1), p.151-155</ispartof><rights>Elsevier B.V.</rights><rights>2013 Elsevier B.V.</rights><rights>2013.</rights><rights>Copyright Elsevier Limited Jan 2014</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c439t-a258dc0af6df1eeb684835abc784dfbfa07bc058c36f4bae86f10e8fe3d58ab53</citedby><cites>FETCH-LOGICAL-c439t-a258dc0af6df1eeb684835abc784dfbfa07bc058c36f4bae86f10e8fe3d58ab53</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.knee.2013.09.007$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,780,784,3550,27924,27925,45995</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/24145068$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Ferguson, K.B</creatorcontrib><creatorcontrib>Bailey, O</creatorcontrib><creatorcontrib>Anthony, I</creatorcontrib><creatorcontrib>James, P.J</creatorcontrib><creatorcontrib>Stother, I.G</creatorcontrib><creatorcontrib>M.J.G., Blyth</creatorcontrib><title>A prospective randomised study comparing rotating platform and fixed bearing total knee arthroplasty in a cruciate substituting design — Outcomes at two year follow-up</title><title>The knee</title><addtitle>Knee</addtitle><description>Abstract Background Fixed bearing (FB) total knee replacement is a well established technique against which new techniques must be compared. Mobile bearing (MB) prostheses, in theory, reduce polyethylene wear but the literature is yet to provide evidence that they are superior in terms of function or long-term survivorship. In addition there has been no comparison of patella resurfacing on the outcome of either design. The aims of this randomised prospective study were firstly to determine whether a mobile bearing prosthesis produced better clinical outcome and range of motion at two year follow-up and secondly to assess the effect of patella resurfacing on the outcomes of both types of bearing design. Methods Three hundred fifty-two patients were randomised into receiving either a PFC Sigma© cruciate sacrificing total knee arthroplasty either with a mobile bearing or a fixed bearing, with a sub-randomisation to either patella resurfacing or patella retention. All patients participated with standard clinical outcome measures and had their range of motion measured both pre-operatively and at follow-up. Results The mobile bearing TKR design had no impact on range of motion; Oxford Knee Score and American Knee Society knee and function scores when compared to its fixed bearing equivalent. Conclusions At two year follow-up there was no difference between the PFC Sigma© fixed and mobile bearing designs. With no clinical difference between the cohorts, we cannot recommend one design over the other. Long term benefits, particularly with regards to polyethylene wear, may yet be demonstrated. Level of evidence — 1B.</description><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Arthroplasty, Replacement, Knee - instrumentation</subject><subject>Arthroplasty, Replacement, Knee - methods</subject><subject>Female</subject><subject>Fixed bearing</subject><subject>Follow-Up Studies</subject><subject>Humans</subject><subject>Joint surgery</subject><subject>Knee</subject><subject>Knee arthroplasty</subject><subject>Knee Prosthesis</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Mobile bearing</subject><subject>Orthopedics</subject><subject>Osteoarthritis, Knee - surgery</subject><subject>Patella - surgery</subject><subject>Patient Outcome Assessment</subject><subject>Prospective Studies</subject><subject>Prosthesis Design</subject><subject>Range of Motion, Articular</subject><subject>Studies</subject><subject>Surgery</subject><subject>Total knee arthroplasty</subject><issn>0968-0160</issn><issn>1873-5800</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2014</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kk1u1TAUhSMEoo_CBhggS0w6SbiO8-NICKmq-JMqdQCMLce-Ln5N4mA7LZmxCDbBtlgJDq-A1AEje_Cd4-tzbpY9pVBQoM2LfXE1IRYlUFZAVwC097Id5S3Law5wP9tB1_A8kXCUPQphDwBNV9UPs6OyolUNDd9lP07J7F2YUUV7jcTLSbvRBtQkxEWvRLlxlt5Ol8S7KON2mQcZjfMjSSwx9mtiezwwMTED2aYi0sfP3iU2xJXYiUii_KKsjEjC0odo4_LbTWOwlxP5-e07uVhieg4DkZHEG0fW5EqMGwZ3ky_z4-yBkUPAJ7fncfbpzeuPZ-_y84u3789Oz3NVsS7msqy5ViBNow1F7BtecVbLXrW80qY3EtpeQc0Va0zVS-SNoYDcINM1l33NjrOTg2_K5cuCIYqUh8JhkBO6JQhaddABrRhN6PM76N4tfkrTJapt64qV0CWqPFAqBR08GjF7O0q_CgpiK1LsxRaZ2IoU0IlUZBI9u7Ve-hH1X8mf5hLw8gBgyuLaohdBWZwUautTmUI7-3__V3fkarCTVXK4whXDv3-IUAoQH7ZV2jaJMgDaljX7BVG6yaA</recordid><startdate>20140101</startdate><enddate>20140101</enddate><creator>Ferguson, K.B</creator><creator>Bailey, O</creator><creator>Anthony, I</creator><creator>James, P.J</creator><creator>Stother, I.G</creator><creator>M.J.G., Blyth</creator><general>Elsevier B.V</general><general>Elsevier Limited</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QP</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>7X8</scope></search><sort><creationdate>20140101</creationdate><title>A prospective randomised study comparing rotating platform and fixed bearing total knee arthroplasty in a cruciate substituting design — Outcomes at two year follow-up</title><author>Ferguson, K.B ; Bailey, O ; Anthony, I ; James, P.J ; Stother, I.G ; M.J.G., Blyth</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c439t-a258dc0af6df1eeb684835abc784dfbfa07bc058c36f4bae86f10e8fe3d58ab53</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2014</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Arthroplasty, Replacement, Knee - instrumentation</topic><topic>Arthroplasty, Replacement, Knee - methods</topic><topic>Female</topic><topic>Fixed bearing</topic><topic>Follow-Up Studies</topic><topic>Humans</topic><topic>Joint surgery</topic><topic>Knee</topic><topic>Knee arthroplasty</topic><topic>Knee Prosthesis</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Mobile bearing</topic><topic>Orthopedics</topic><topic>Osteoarthritis, Knee - surgery</topic><topic>Patella - surgery</topic><topic>Patient Outcome Assessment</topic><topic>Prospective Studies</topic><topic>Prosthesis Design</topic><topic>Range of Motion, Articular</topic><topic>Studies</topic><topic>Surgery</topic><topic>Total knee arthroplasty</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Ferguson, K.B</creatorcontrib><creatorcontrib>Bailey, O</creatorcontrib><creatorcontrib>Anthony, I</creatorcontrib><creatorcontrib>James, P.J</creatorcontrib><creatorcontrib>Stother, I.G</creatorcontrib><creatorcontrib>M.J.G., Blyth</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Calcium &amp; Calcified Tissue Abstracts</collection><collection>ProQuest Health &amp; Medical Complete (Alumni)</collection><collection>Nursing &amp; Allied Health Premium</collection><collection>MEDLINE - Academic</collection><jtitle>The knee</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Ferguson, K.B</au><au>Bailey, O</au><au>Anthony, I</au><au>James, P.J</au><au>Stother, I.G</au><au>M.J.G., Blyth</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>A prospective randomised study comparing rotating platform and fixed bearing total knee arthroplasty in a cruciate substituting design — Outcomes at two year follow-up</atitle><jtitle>The knee</jtitle><addtitle>Knee</addtitle><date>2014-01-01</date><risdate>2014</risdate><volume>21</volume><issue>1</issue><spage>151</spage><epage>155</epage><pages>151-155</pages><issn>0968-0160</issn><eissn>1873-5800</eissn><abstract>Abstract Background Fixed bearing (FB) total knee replacement is a well established technique against which new techniques must be compared. Mobile bearing (MB) prostheses, in theory, reduce polyethylene wear but the literature is yet to provide evidence that they are superior in terms of function or long-term survivorship. In addition there has been no comparison of patella resurfacing on the outcome of either design. The aims of this randomised prospective study were firstly to determine whether a mobile bearing prosthesis produced better clinical outcome and range of motion at two year follow-up and secondly to assess the effect of patella resurfacing on the outcomes of both types of bearing design. Methods Three hundred fifty-two patients were randomised into receiving either a PFC Sigma© cruciate sacrificing total knee arthroplasty either with a mobile bearing or a fixed bearing, with a sub-randomisation to either patella resurfacing or patella retention. All patients participated with standard clinical outcome measures and had their range of motion measured both pre-operatively and at follow-up. Results The mobile bearing TKR design had no impact on range of motion; Oxford Knee Score and American Knee Society knee and function scores when compared to its fixed bearing equivalent. Conclusions At two year follow-up there was no difference between the PFC Sigma© fixed and mobile bearing designs. With no clinical difference between the cohorts, we cannot recommend one design over the other. Long term benefits, particularly with regards to polyethylene wear, may yet be demonstrated. Level of evidence — 1B.</abstract><cop>Netherlands</cop><pub>Elsevier B.V</pub><pmid>24145068</pmid><doi>10.1016/j.knee.2013.09.007</doi><tpages>5</tpages></addata></record>
fulltext fulltext
identifier ISSN: 0968-0160
ispartof The knee, 2014-01, Vol.21 (1), p.151-155
issn 0968-0160
1873-5800
language eng
recordid cdi_proquest_miscellaneous_1490901431
source MEDLINE; Elsevier ScienceDirect Journals Complete
subjects Adult
Aged
Aged, 80 and over
Arthroplasty, Replacement, Knee - instrumentation
Arthroplasty, Replacement, Knee - methods
Female
Fixed bearing
Follow-Up Studies
Humans
Joint surgery
Knee
Knee arthroplasty
Knee Prosthesis
Male
Middle Aged
Mobile bearing
Orthopedics
Osteoarthritis, Knee - surgery
Patella - surgery
Patient Outcome Assessment
Prospective Studies
Prosthesis Design
Range of Motion, Articular
Studies
Surgery
Total knee arthroplasty
title A prospective randomised study comparing rotating platform and fixed bearing total knee arthroplasty in a cruciate substituting design — Outcomes at two year follow-up
url https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2024-12-25T09%3A15%3A59IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=A%20prospective%20randomised%20study%20comparing%20rotating%20platform%20and%20fixed%20bearing%20total%20knee%20arthroplasty%20in%20a%20cruciate%20substituting%20design%20%E2%80%94%20Outcomes%20at%20two%20year%20follow-up&rft.jtitle=The%20knee&rft.au=Ferguson,%20K.B&rft.date=2014-01-01&rft.volume=21&rft.issue=1&rft.spage=151&rft.epage=155&rft.pages=151-155&rft.issn=0968-0160&rft.eissn=1873-5800&rft_id=info:doi/10.1016/j.knee.2013.09.007&rft_dat=%3Cproquest_cross%3E3182127071%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=1477543209&rft_id=info:pmid/24145068&rft_els_id=1_s2_0_S0968016013001725&rfr_iscdi=true