Document Detail


A randomised controlled clinical trial and gait analysis of fixed- and mobile-bearing total knee replacements with a five-year follow-up.
MedLine Citation:
PMID:  22529085     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
This study compared the outcome of total knee replacement (TKR) in adult patients with fixed- and mobile-bearing prostheses during the first post-operative year and at five years' follow-up, using gait parameters as a new objective measure. This double-blind randomised controlled clinical trial included 55 patients with mobile-bearing (n = 26) and fixed-bearing (n = 29) prostheses of the same design, evaluated pre-operatively and post-operatively at six weeks, three months, six months, one year and five years. Each participant undertook two walking trials of 30 m and completed the EuroQol questionnaire, Western Ontario and McMaster Universities osteoarthritis index, Knee Society score, and visual analogue scales for pain and stiffness. Gait analysis was performed using five miniature angular rate sensors mounted on the trunk (sacrum), each thigh and calf. The study population was divided into two groups according to age (≤ 70 years versus > 70 years). Improvements in most gait parameters at five years' follow-up were greater for fixed-bearing TKRs in older patients (> 70 years), and greater for mobile-bearing TKRs in younger patients (≤ 70 years). These findings should be confirmed by an extended age controlled study, as the ideal choice of prosthesis might depend on the age of the patient at the time of surgery.
Authors:
B M Jolles; A Grzesiak; A Eudier; H Dejnabadi; C Voracek; C Pichonnaz; K Aminian; E Martin
Related Documents :
15314955 - Bone and air conduction after stapedectomy.
23554715 - Efficacy and tolerance of tacrolimus and pimecrolimus for atopic dermatitis: a meta-ana...
24251305 - Experimental study on a new radioactive probe for the treatment of lacrimal duct stenosis.
24532965 - The comparison of intravitreal triamcinolone and bevacizumab in patients with macular e...
10511765 - Efficacy and safety of twice daily administration of cefpirome in the empiric treatment...
11859235 - Intraoperative autotransfusion in hip arthroplasty.
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Journal of bone and joint surgery. British volume     Volume:  94     ISSN:  0301-620X     ISO Abbreviation:  J Bone Joint Surg Br     Publication Date:  2012 May 
Date Detail:
Created Date:  2012-04-24     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0375355     Medline TA:  J Bone Joint Surg Br     Country:  England    
Other Details:
Languages:  eng     Pagination:  648-55     Citation Subset:  AIM; IM    
Affiliation:
CHUV and University of Lausanne - Site Hôpital Orthopédique, 4 Avenue Pierre Decker, CH-1011 Lausanne, Switzerland.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


Previous Document:  Computer-assisted total knee replacement in patients with arthritis and a recurvatum deformity.
Next Document:  Fungal peri-prosthetic joint infection after primary total knee replacement.