Is high flexion total knee arthroplasty a rewarding procedure? an updated meta-analysis of prospective randomized controlled trials

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dc.creatorTinglei
dc.creatorhu Qian
dc.creatorLong Hua
dc.creatorGuilherme Moreira de Abreu e Silva
dc.creatorYihe hu
dc.creatorPengfei Lei
dc.date.accessioned2023-07-31T23:15:25Z
dc.date.accessioned2025-09-09T01:19:50Z
dc.date.available2023-07-31T23:15:25Z
dc.date.issued2021
dc.format.mimetypepdf
dc.identifier.doi10.1007/s00402-020-03481-9
dc.identifier.issn09368051
dc.identifier.urihttps://hdl.handle.net/1843/57284
dc.languageeng
dc.publisherUniversidade Federal de Minas Gerais
dc.relation.ispartofArchives of Orthopaedic and Trauma Surgery
dc.rightsAcesso Restrito
dc.subjectMetanálise
dc.subjectArtroplastia do Joelho
dc.subjectRandomized controlled trials
dc.subjectAmplitude de Movimento Articular
dc.subject.otherMeta-analysis
dc.subject.otherTotal knee arthroplasty
dc.subject.otherHigh flexion
dc.subject.otherRandomized controlled trials
dc.subject.otherRange of motion
dc.titleIs high flexion total knee arthroplasty a rewarding procedure? an updated meta-analysis of prospective randomized controlled trials
dc.typeArtigo de periódico
local.citation.epage793
local.citation.spage783
local.citation.volume141
local.description.resumoIntroduction 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.
local.identifier.orcidhttps://orcid.org/0000-0002-3869-8606
local.publisher.countryBrasil
local.publisher.departmentMED - DEPARTAMENTO DE APARELHO LOCOMOTOR
local.publisher.departmentMED - DEPARTAMENTO DE MEDICINA PREVENTIVA SOCIAL
local.publisher.initialsUFMG
local.url.externahttps://link.springer.com/article/10.1007/s00402-020-03481-9

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