Staged bilateral mobile-bearing and fixed-bearing total knee arthroplasty in the same patients: a prospective comparison of a posterior-stabilized prosthesis

Abstract

Mobile-bearing total knee arthroplasty (TKA) has several theoretical advantages over fixed-bearing TKA. We conducted a prospective randomized trial to compare the results of mobile-bearing and fixed-bearing posterior-stabilized TKA in the same patients using the same femoral component design of a mobile-bearing prosthesis in one knee and a fixed-bearing prosthesis in the other knee in 25 patients with osteoarthritis. The mean follow-up was 40 months. No significant differences were found in the mobile-bearing and fixed-bearing knees in terms of clinical and radiographic results. No osteolysis, loosening, or revision occurred. One knee with a mobile-bearing prosthesis had a dislocation of the rotating bearing; however, spontaneous reduction occurred and the dislocation did not recur. Satisfactory early results can be achieved in both mobile-bearing and fixed-bearing knees. We could not demonstrate an advantage of a mobile-bearing TKA.

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Correspondence to Masahiro Hasegawa.

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Hasegawa, M., Sudo, A. & Uchida, A. Staged bilateral mobile-bearing and fixed-bearing total knee arthroplasty in the same patients: a prospective comparison of a posterior-stabilized prosthesis. Knee Surg Sports Traumatol Arthrosc 17, 237–243 (2009). https://doi.org/10.1007/s00167-008-0662-3

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Keywords

  • Total knee arthroplasty
  • Mobile bearing
  • Fixed bearing