Meta-analyses showed no clinical ly relevant differences in terms of revision rates , clinical outcome scores or patient-reported outcome measures between MB and FB TKRs .
It appears that theoretical assumptions of superiority of MB over FB TKR are not borne out in clinical practice
Mobile-bearing ( MB ) total knee replacement ( TKR ) was introduced to reduce the risk of aseptic loosening and wear of polyethylene inserts .
However , no consistent clinical advantages of mobile- over fixed-bearing ( FB ) TKR have been found .
In this study we evaluated whether mobile bearings have an advantage over fixed bearings with regard to revision rates and clinical outcome scores .
Furthermore , we determined which modifying variables affected the outcome .
Fixed versus rotating platform total knee arthroplasty: a prospective, randomized, single-blind study.
The purpose of this r and omized , single-blind clinical trial was to compare a rotating platform ( RP ) total knee arthroplasty to a fixed-bearing ( FB ) total knee arthroplasty . Ninety-five knees in 69 patients were implanted by 2 surgeons . There were no significant differences in the preoperative demographics . At a minimum of 2-year follow-up , clinical outcomes and complication rates were similar , with the exception that the RP group had significantly better stair-climbing scores ( P = .04 ) . Postoperative range of motion was equally good in both groups ( FB knees , 1 ° -125 ° ; RP knees , 1 - 126 ° ) . There were no bearing dislocations in the RP group . In conclusion , this RP design performs at least as well as the FB version , and the RP patients reported better stair-climbing ability . Enthusiasm for this finding should be tempered by the relatively small sample size
Meta-analyses showed no clinical ly relevant differences in terms of revision rates , clinical outcome scores or patient-reported outcome measures between MB and FB TKRs .
It appears that theoretical assumptions of superiority of MB over FB TKR are not borne out in clinical practice
Mobile-bearing ( MB ) total knee replacement ( TKR ) was introduced to reduce the risk of aseptic loosening and wear of polyethylene inserts .
However , no consistent clinical advantages of mobile- over fixed-bearing ( FB ) TKR have been found .
In this study we evaluated whether mobile bearings have an advantage over fixed bearings with regard to revision rates and clinical outcome scores .
Furthermore , we determined which modifying variables affected the outcome .