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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Sociedade Brasileira de Ortopedia e Traumatologia
2025-02-01
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Series: | Acta Ortopédica Brasileira |
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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. |
format | Article |
id | doaj-art-7f1fcd20e83340bfb88f848d1649e2f5 |
institution | Kabale University |
issn | 1413-7852 |
language | English |
publishDate | 2025-02-01 |
publisher | Sociedade Brasileira de Ortopedia e Traumatologia |
record_format | Article |
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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