Is there reduced polyethylene wear and
longer survival when using a mobile-bearing design in total knee replacement?: A meta-analysis of randomised and non-randomised controlled trials

Y. Zeng; B. Shen; J. Yang; Z. K. Zhou; P. D. Kang; F. X. Pei

doi:10.1302/0301-620X.95B8.31310

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Is there reduced polyethylene wear and longer survival when using a mobile-bearing design in total knee replacement?

A meta-analysis of randomised and non-randomised controlled trials

Y. Zeng
B. Shen
J. Yang
Z. K. Zhou
P. D. Kang
F. X. Pei

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Is there reduced polyethylene wear and longer survival when using a mobile-bearing design in total knee replacement?

Zeng Y, Shen B, Yang J, Zhou ZK, Kang PD, Pei FX. Is there reduced polyethylene wear and longer survival when using a mobile-bearing design in total knee replacement?. Bone Joint J. 2013;95-B(8):1057-1063. doi:10.1302/0301-620X.95B8.31310

Zeng, Y., et al. “Is there reduced polyethylene wear and longer survival when using a mobile-bearing design in total knee replacement?.” The Bone & Joint Journal, vol. 95-B, no. 8, 2013, pp. 1057-1063., https://doi.org/10.1302/0301-620X.95B8.31310

Zeng, Y., Shen, B., Yang, J., Zhou, Z. K., Kang, P. D., & Pei, F. X. (2013). Is there reduced polyethylene wear and longer survival when using a mobile-bearing design in total knee replacement?. The Bone & Joint Journal, 95-B(8), 1057-1063. https://doi.org/10.1302/0301-620X.95B8.31310

Zeng, Y., Shen, B., Yang, J., Zhou, Z. K., Kang, P. D. and Pei, F. X. (2013) “Is there reduced polyethylene wear and longer survival when using a mobile-bearing design in total knee replacement?.” The Bone & Joint Journal, 95-B(8), pp. 1057-1063. Available at: https://doi.org/10.1302/0301-620X.95B8.31310

Zeng, Y., B. Shen, J. Yang, Z. K. Zhou, P. D. Kang, and F. X. Pei. “Is there reduced polyethylene wear and longer survival when using a mobile-bearing design in total knee replacement?.” The Bone & Joint Journal 95-B, no. 8 (2013): 1057-1063. https://doi.org/10.1302/0301-620X.95B8.31310

Zeng Y, Shen B, Yang J, Zhou ZK, Kang PD, Pei FX. Is there reduced polyethylene wear and longer survival when using a mobile-bearing design in total knee replacement?. Bone Joint J. 2013 Aug 1;95-B(8):1057-1063. https://doi.org/10.1302/0301-620X.95B8.31310

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Abstract

The purpose of this study was to undertake a meta-analysis to determine whether there is lower polyethylene wear and longer survival when using mobile-bearing implants in total knee replacement when compared with fixed-bearing implants. Of 975 papers identified, 34 trials were eligible for data extraction and meta-analysis comprising 4754 patients (6861 knees). We found no statistically significant differences between the two designs in terms of the incidence of radiolucent lines, osteolysis, aseptic loosening or survival. There is thus currently no evidence to suggest that the use of mobile-bearing designs reduce polyethylene wear and prolong survival after total knee replacement.

Cite this article: Bone Joint J 2013;95-B:1057–63.

Correspondence should be sent to Dr B. Shen; e-mail: shenbin1971@yahoo.com

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Journal

The Bone & Joint Journal

Volume

95-B No.8 | Pages 1057 - 1063

Section

Knee

Published

01 August 2013

DOI

Authors

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Y. Zeng

Orthopaedic Surgeon