SynthesisJournal of orthopaedic surgery and research2021
Fixed-bearing vs mobile-bearing prostheses for total knee arthroplasty after approximately 10 years of follow-up: a meta-analysis.
Synthesis in Journal of orthopaedic surgery and research, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 2 of them syntheses that pooled it.
What it found
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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.
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.
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Who cites it
13 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Comparison of revision rates and epidemiological data of a single total knee arthroplasty system of different designs (cruciate retaining, posterior stabilized, mobile bearing, and fixed bearing): a meta-analysis and systematic review of clinical trials and national arthroplasty registries.Archives of orthopaedic and trauma surgery · 2024Pooled it
- 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 · 2022Pooled it
- Comparison of efficacy and cost-effectiveness between mobile-bearing and fixed-bearing unicompartmental knee arthroplasty for elderly patients with knee osteoarthritis: a retrospective cohort study.Frontiers in surgery · 2026Article
- Tibiofemoral axial rotation during the golf swing is influenced by total knee arthroplasty bearing type and foot rotation.Journal of experimental orthopaedics · 2025Article
- Review
- Use of total knee arthroplasty by type of public insurance scheme: a cross-sectional study based on claims data in Thailand.BMJ open · 2025Article
- Mobile-bearing versus Medial-pivot Designs in Total Knee Arthroplasty: A Meta-analysis.Knee surgery & related research · 2025Review
- Minimum twenty-year follow-up of fixed-vs mobile-bearing total knee arthroplasty: Double blinded randomized trial.Journal of clinical orthopaedics and trauma · 2025Article
- Article
- [Digital tools in primary total knee arthroplasty-Prevalence in the German-speaking region].Orthopadie (Heidelberg, Germany) · 2024Article
- Effect of design and surgical parameters variations in mobile-bearing versus fixed-bearing unicompartmental knee arthroplasty: A finite element analysis.Journal of experimental orthopaedics · 2024Article
- Increased risk of aseptic loosening for posterior stabilized compared with posterior cruciate-retaining uncemented total knee replacements: a cohort study of 13,667 knees from the Dutch Arthroplasty Registry.Acta orthopaedica · 2023Article
- The effect of different insert design congruencies on the kinematics of a mobile bearing TKA: A cadaveric study.Journal of orthopaedicsArticle
Corrections and comments
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Authors and funding
2 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe benefits and risks of fixed-bearing and mobile-bearing designs for total knee arthroplasty (TKA) were compared, and long-term functional, clinical and radiological outcomes were analysed.
methodsA comprehensive search in the PubMed, EMBASE, Web of Science and Cochrane Central databases was conducted to identify randomized controlled trials (RCTs) comparing fixed-bearing and mobile-bearing designs with no less than 9 years of follow-up. Primary outcome measures were Knee Society Scores (KSSs), range of motion (ROM) in knee joint values, complication rates and revision rates. The final search was performed on 23 April 2021.
resultsSix RCTs were included. A total of 451 patients with 612 knees met the inclusion criteria. The mobile-bearing design, in contrast to the fixed-bearing design, can clearly increase the KSFSs, especially with posterior cruciate retention. There was no significant difference in the KSKSs, ROM values, revision rates or complication rates between the two bearing design groups.
conclusionAfter approximately 10 years of follow-up, the mobile-bearing design has advantages in KSFSs over the fixed-bearing design. The mobile-bearing design may also have advantages in the revision rates over the fixed-bearing design when the posterior cruciate ligament is substituted. There may be no clear difference in KSKSs, ROM values or complication rates between these two designs.
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