Does the method of component fixation influence clinical outcomes after total knee replacement? A systematic literature review

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dc.contributor.authorArnold, J.
dc.contributor.authorWalters, J.
dc.contributor.authorSolomon, L.
dc.contributor.authorThewlis, D.
dc.date.issued2013
dc.description.abstractA 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.
dc.description.statementofresponsibilityJohn B. Arnold, Julie L. Walters, Lucian B. Solomon, Dominic Thewlis
dc.identifier.citationJournal of Arthroplasty, 2013; 28(5):740-746
dc.identifier.doi10.1016/j.arth.2012.09.021
dc.identifier.issn0883-5403
dc.identifier.issn1532-8406
dc.identifier.orcidArnold, J. [0000-0002-1158-8917]
dc.identifier.orcidSolomon, L. [0000-0001-6254-2372]
dc.identifier.orcidThewlis, D. [0000-0001-6614-8663]
dc.identifier.urihttp://hdl.handle.net/2440/79792
dc.language.isoen
dc.publisherChurchill Livingstone Inc Medical Publishers
dc.rightsCrown Copyright © 2013
dc.source.urihttps://doi.org/10.1016/j.arth.2012.09.021
dc.subjecttotal knee arthroplasty
dc.subjectclinical outcome
dc.subjectfixation
dc.subjectcement
dc.subjectcementless
dc.titleDoes the method of component fixation influence clinical outcomes after total knee replacement? A systematic literature review
dc.typeJournal article
pubs.publication-statusPublished

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