Evidence map›Paper›PMID 18523833›Full record

Trial reportClinical orthopaedics and related research2008

Less anterior knee pain with a mobile-bearing prosthesis compared with a fixed-bearing prosthesis.

Stefan J M Breugem, Inger N Sierevelt, Matthias U Schafroth, Leendert Blankevoort, Gerard R Schaap, C Niek van Dijk

Abstract readComparative StudyRandomized Controlled Trial
In one paragraph

Trial report in Clinical orthopaedics and related research, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 40 papers, 11 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
40citing papers in PubMed, 11 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

40 citing papers in PubMed, 11 syntheses or guidelines pooled it.

  1. No difference between mobile and fixed bearing in primary total knee arthroplasty: a meta-analysis.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2022
    Pooled it
  2. Mobile-bearing versus fixed-bearing total knee arthroplasty: a meta-analysis of randomized controlled trials.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2022
    Pooled it
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  6. Is patellar denervation necessary in total knee arthroplasty without patellar resurfacing?Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2016
    Pooled it
  7. Pooled it
  8. Patellar denervation with electrocautery in total knee arthroplasty without patellar resurfacing: a meta-analysis.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2014
    Pooled it
  9. Determinants of anterior knee pain following total knee replacement: a systematic review.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2014
    Pooled it
  10. No difference in clinical outcome between fixed- and mobile-bearing TKA: a meta-analysis.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2014
    Pooled it
  11. Clinical and radiological outcomes of fixed- versus mobile-bearing total knee replacement: a meta-analysis.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2010
    Pooled it
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  18. No difference in anterior knee pain between a fixed and a mobile posterior stabilized total knee arthroplasty after 7.9 years.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2014
    Trial
  19. Fixed versus mobile weight-bearing prosthesis in total knee arthroplasty.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2012
    Trial
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Stefan J M BreugemOrthopaedic Research Center Amsterdam, Department of Orthopaedic Surgery, Academic Medical Center, PO Box 22660, 1100 DD, Amsterdam, The Netherlands. s.j.breugem@amc.uva.nl
Inger N Sierevelt
Matthias U Schafroth
Leendert Blankevoort
Gerard R Schaap
C Niek van Dijk

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

unlabelledAnterior knee pain is one of the major short-term complaints after TKA. Since the introduction of the mobile-bearing TKA, numerous studies have attempted to confirm the theoretical advantages of a mobile-bearing TKA over a fixed-bearing TKA but most show little or no actual benefits. The concept of self-alignment for the mobile bearing suggests the posterior-stabilized mobile-bearing TKA would provide a lower incidence of anterior knee pain compared with a fixed-bearing TKA. We therefore asked whether the posterior-stabilized mobile-bearing knee would in fact reduce anterior knee pain. We randomized 103 patients scheduled for cemented three-component TKA for osteoarthrosis in a prospective, double-blind clinical trial. With a 1-year followup, more patients experienced persistent anterior knee pain in the posterior-stabilized fixed-bearing group (10 of 53, 18.9%) than in the posterior-stabilized mobile-bearing group (two of 47, 4.3%). No differences were observed for range of motion, visual analog scale for pain, Oxford 12-item questionnaire, SF-36, or the American Knee Society score. The posterior-stabilized mobile-bearing knee therefore seems to provide a short-term advantage compared with the posterior-stabilized fixed-bearing knee. LEVEL OF EVIDENCE: Level I, therapeutic study.

Indexed as

Arthroplasty, Replacement, KneeKnee JointKnee ProsthesisProsthesis DesignAdultArthralgiaDouble-Blind MethodFemaleHealth Status IndicatorsHumansMalePain MeasurementPostoperative ComplicationsProspective StudiesRange of Motion, Articular

Identifiers

PMID18523833
PMCPMC2584251

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.