BEST PROSTHESIS FOR UNICOMPARTMENTAL KNEE ARTHROSIS: FIXED OR MOBILE?

Abstract This study aimed to compare fixed-bearing and mobile-bearing knee unicompartmental arthroplasty implants in adults (in the medial compartment) to determine which is better for each patient and their particularities. The research focused on postoperative assessments with a follow-up of at le...

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Main Authors: Fabrício Luz Cardoso, Deusimar Cristian dos Santos Gomez, Fabrício Roberto Severino, Patrícia Maria Moraes de Barros de Fucs
Format: Article
Language:English
Published: Sociedade Brasileira de Ortopedia e Traumatologia 2025-02-01
Series:Acta Ortopédica Brasileira
Subjects:
Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1413-78522025000103900&lng=en&tlng=en
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author Fabrício Luz Cardoso
Deusimar Cristian dos Santos Gomez
Fabrício Roberto Severino
Patrícia Maria Moraes de Barros de Fucs
author_facet Fabrício Luz Cardoso
Deusimar Cristian dos Santos Gomez
Fabrício Roberto Severino
Patrícia Maria Moraes de Barros de Fucs
author_sort Fabrício Luz Cardoso
collection DOAJ
description Abstract This study aimed to compare fixed-bearing and mobile-bearing knee unicompartmental arthroplasty implants in adults (in the medial compartment) to determine which is better for each patient and their particularities. The research focused on postoperative assessments with a follow-up of at least a 2-year, examining both quality of life and mid-term functionality in the medium term. A systematic keyword search was executed in the PubMed, EMBASE, and Cochrane databases, employing a filter for randomized clinical trials and without language limitations. The search yielded 113 articles from March 28, 2024, including 83 from PubMed, 12 from EMBASE, and 18 from the Cochrane Library. The study found insufficient evidence to establish the superiority of one prosthetic type over the other regarding post-operative function, pain, complications, revisions, and quality of life after a 2-year follow-up. Literature highlights uncertainties in comparing UKA types due to varied assessment tools. No conclusive evidence favors either type regarding post-op function, pain, complication rates, revisions, or quality of life after 2 years. Urgent need for standardized, long-term, multicenter studies to inform evidence-based clinical practice. Level of Evidence I; Systematic review of randomized controlled trials.
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institution Kabale University
issn 1413-7852
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publishDate 2025-02-01
publisher Sociedade Brasileira de Ortopedia e Traumatologia
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series Acta Ortopédica Brasileira
spelling doaj-art-7f1fcd20e83340bfb88f848d1649e2f52025-02-04T07:41:03ZengSociedade Brasileira de Ortopedia e TraumatologiaActa Ortopédica Brasileira1413-78522025-02-0133110.1590/1413-785220253301e285052BEST PROSTHESIS FOR UNICOMPARTMENTAL KNEE ARTHROSIS: FIXED OR MOBILE?Fabrício Luz Cardosohttps://orcid.org/0000-0002-9507-4170Deusimar Cristian dos Santos Gomezhttps://orcid.org/0000-0001-9060-7081Fabrício Roberto Severinohttps://orcid.org/0000-0002-6834-8615Patrícia Maria Moraes de Barros de Fucshttps://orcid.org/0000-0001-7081-987XAbstract This study aimed to compare fixed-bearing and mobile-bearing knee unicompartmental arthroplasty implants in adults (in the medial compartment) to determine which is better for each patient and their particularities. The research focused on postoperative assessments with a follow-up of at least a 2-year, examining both quality of life and mid-term functionality in the medium term. A systematic keyword search was executed in the PubMed, EMBASE, and Cochrane databases, employing a filter for randomized clinical trials and without language limitations. The search yielded 113 articles from March 28, 2024, including 83 from PubMed, 12 from EMBASE, and 18 from the Cochrane Library. The study found insufficient evidence to establish the superiority of one prosthetic type over the other regarding post-operative function, pain, complications, revisions, and quality of life after a 2-year follow-up. Literature highlights uncertainties in comparing UKA types due to varied assessment tools. No conclusive evidence favors either type regarding post-op function, pain, complication rates, revisions, or quality of life after 2 years. Urgent need for standardized, long-term, multicenter studies to inform evidence-based clinical practice. Level of Evidence I; Systematic review of randomized controlled trials.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1413-78522025000103900&lng=en&tlng=enArthroplastyKnee JointProstheses and ImplantsWeight-Bearing
spellingShingle Fabrício Luz Cardoso
Deusimar Cristian dos Santos Gomez
Fabrício Roberto Severino
Patrícia Maria Moraes de Barros de Fucs
BEST PROSTHESIS FOR UNICOMPARTMENTAL KNEE ARTHROSIS: FIXED OR MOBILE?
Acta Ortopédica Brasileira
Arthroplasty
Knee Joint
Prostheses and Implants
Weight-Bearing
title BEST PROSTHESIS FOR UNICOMPARTMENTAL KNEE ARTHROSIS: FIXED OR MOBILE?
title_full BEST PROSTHESIS FOR UNICOMPARTMENTAL KNEE ARTHROSIS: FIXED OR MOBILE?
title_fullStr BEST PROSTHESIS FOR UNICOMPARTMENTAL KNEE ARTHROSIS: FIXED OR MOBILE?
title_full_unstemmed BEST PROSTHESIS FOR UNICOMPARTMENTAL KNEE ARTHROSIS: FIXED OR MOBILE?
title_short BEST PROSTHESIS FOR UNICOMPARTMENTAL KNEE ARTHROSIS: FIXED OR MOBILE?
title_sort best prosthesis for unicompartmental knee arthrosis fixed or mobile
topic Arthroplasty
Knee Joint
Prostheses and Implants
Weight-Bearing
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1413-78522025000103900&lng=en&tlng=en
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