Is high flexion total knee arthroplasty a rewarding procedure? an updated meta-analysis of prospective randomized controlled trials
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Universidade Federal de Minas Gerais
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Artigo de periódico
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Membros da banca
Resumo
Introduction The aim of this study is to provide an updated meta-analysis comparing the benefits and clinical outcomes
between high flexion (HF)-TKA and standard (S)-TKA.Materials and methods A detailed database analysis was carried out using Web of Science, PubMed, EMBASE, Cochrane Library, MEDLINE and Clinicaltrial.gov, to identify eligible studies. The meta-analysis and sensitivity analysis were per formed using Review Manager 5.3 software and STATA 12.0.Results Twenty-two randomized control trials (RCTs), including 2841 patients and 4268 knees, were eligible for the metaanalysis. The pooled results of subgroup analysis reveal that there was significant difference between HF-TKA and S-TKA in each subgroup in terms of postoperative ROM, with a higher degree of knee flexion for HF-TKA than S-TKA. However, no statistical difference was identified between HF-TKA and S-TKA in other clinical outcomes including various functional scores and complications.Conclusions On the basis of this meta-analysis, we can recommended HF-TKA as an alternative choice to S-TKA for patients requiring higher knee flexion in their daily activitie.
Abstract
Assunto
Metanálise, Artroplastia do Joelho, Randomized controlled trials, Amplitude de Movimento Articular
Palavras-chave
Meta-analysis, Total knee arthroplasty, High flexion, Randomized controlled trials, Range of motion
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https://link.springer.com/article/10.1007/s00402-020-03481-9