Please use this identifier to cite or link to this item: https://hdl.handle.net/2440/79792
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Type: Journal article
Title: Does the method of component fixation influence clinical outcomes after total knee replacement? A systematic literature review
Author: Arnold, J.
Walters, J.
Solomon, L.
Thewlis, D.
Citation: Journal of Arthroplasty, 2013; 28(5):740-746
Publisher: Churchill Livingstone Inc Medical Publishers
Issue Date: 2013
ISSN: 0883-5403
1532-8406
Statement of
Responsibility: 
John B. Arnold, Julie L. Walters, Lucian B. Solomon, Dominic Thewlis
Abstract: A systematic literature review was conducted to identify the best available evidence describing the differences in clinical outcome associated with the different methods of total knee replacement (TKR) fixation. Randomized trials published between 1980 and January 2011 comparing differences in clinical outcome scores between groups allocated to either cemented or uncemented fixation for TKR were included. Nine of the 11 studies included in the review reported no significant differences in clinical outcomes between groups with either cemented or uncemented prosthesis components. Critical appraisal of methodological bias revealed consistent shortcomings in study design and execution. It is apparent that more rigorous studies with longer follow-up periods are required to verify which method of fixation may be preferable in enhancing clinical outcomes.
Keywords: total knee arthroplasty
clinical outcome
fixation
cement
cementless
Rights: Crown Copyright © 2013
DOI: 10.1016/j.arth.2012.09.021
Appears in Collections:Aurora harvest
Orthopaedics and Trauma publications

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