Skip to main content
SpringerLink
Log in

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

  • Knee
  • Published:
Knee Surgery, Sports Traumatology, Arthroscopy Aims and scope

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.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2

Similar content being viewed by others

References

  1. Beard DJ, Pandit H, Price AJ, Butler-Manuel PA, Dodd CA, Murray DW et al (2007) Introduction of a new mobile-bearing total knee prosthesis—minimum three year follow-up of an RCT comparing it with a fixed-bearing device. Knee 14:448–451

    Article  PubMed  CAS  Google Scholar 

  2. Bert JM (1990) Dislocation/subluxation of meniscal bearing elements after New Jersey low-contact stress total knee arthroplasty. Clin Orthop 254:211–215

    PubMed  Google Scholar 

  3. Beverland DE, Jordan LR (2002) LCS rotating platform dislocation and spinout—etiology, diagnosis and management. In: Hamelynck KJ, Stiehl JB (eds) LCS mobile bearing knee arthroplasty. A 25 years worldwide review. Springer, Berlin, pp 235–240

    Google Scholar 

  4. Bhan S, Malhotra R, Kiran EK, Shukla S, Bijjawara M (2005) A comparison of fixed-bearing and mobile-bearing total knee arthroplasty at a minimum follow-up of 4.5 years. J Bone Joint Surg (Am) 87A:2290–2296

    Article  Google Scholar 

  5. Biau D, Mullins MM, Judet T, Piriou P (2006) Mobile versus fixed-bearing total knee arthroplasty: mid-term comparative clinical results of 216 prostheses. Knee Surg Sports Traumatol Arthrosc 4:927–933

    Article  Google Scholar 

  6. Buechel FF (2003) Mobile bearing knee replacement. In: Callaghan JJ, Rosenberg AG, Rubash HE, Simonian PT, Wickiewicz TL (eds) The adult knee. Lippincott Williams & Wilkins, Philadelphia, pp 1163–1176

    Google Scholar 

  7. Callaghan JJ, O’Rourke MR, Iossi MF, Liu SS, Goetz DD, Vittetoe DA et al (2005) Cemented rotating-platform total knee replacement. A concise follow-up, at a minimum of fifteen years, of a previous report. J Bone Joint Surg (Am) 87A:1995–1998

    Article  Google Scholar 

  8. Ewald FC (1989) The Knee Society total knee arthroplasty roentgenographic evaluation and scoring system. Clin Orthop 248:9–12

    PubMed  Google Scholar 

  9. Hasegawa M, Sudo A, Fukuda A, Uchida A (2006) Dislocation of posterior-stabilized mobile-bearing knee prosthesis. A case report. Knee 13:478–482

    Article  PubMed  Google Scholar 

  10. Ho FY, Ma HM, Liau JJ, Yeh CR, Huang CH (2007) Mobile-bearing knees reduce rotational asymmetric wear. Clin Orthop 462:143–149

    Article  PubMed  Google Scholar 

  11. Huang CH, Ma HM, Liau JJ, Ho FY, Cheng CK (2002) Osteolysis in failed total knee arthroplasty: a comparison of mobile-bearing and fixed-bearing knees. J Bone Joint Surg (Am) 84A:2224–2229

    Google Scholar 

  12. Huang CH, Ho FY, Ma HM, Yang CT, Liau JJ, Kao HC et al (2002) Particle size and morphology of UHMWPE wear debris in failed total knee arthroplasties—a comparison between mobile bearing and fixed bearing knees. J Orthop Res 20:1038–1041

    Article  PubMed  CAS  Google Scholar 

  13. Insall JN, Dorr LD, Scott RD, Scott WN (1989) Rationale of the Knee Society clinical rating system. Clin Orthop 248:13–14

    PubMed  Google Scholar 

  14. Kim YH, Kook HK, Kim JS (2001) Comparison of fixed-bearing and mobile-bearing total knee arthroplasties. Clin Orthop 392:101–115

    Article  PubMed  Google Scholar 

  15. Kim YH, Kim DY, Kim JS (2007) Simultaneous mobile- and fixed-bearing total knee replacement in the same patients. A prospective comparison of mid-term outcomes using a similar design of prosthesis. J Bone Joint Surg (Br) 89B:904–910

    Google Scholar 

  16. Kim YH, Yoon SH, Kim JS (2007) The long-term results of simultaneous fixed-bearing and mobile-bearing total knee replacements performed in the same patient. J Bone Joint Surg (Br) 89B:1317–1323

    Google Scholar 

  17. Lachiewicz PF, Soileau ES (2004) The rates of osteolysis and loosening associated with a modular posterior stabilized knee replacement. Results at five to fourteen years. J Bone Joint Surg (Am) 86A:525–530

    Google Scholar 

  18. Lädermann A, Lübbeke A, Stern R, Riand N, Fritschy D (2008) Fixed-bearing versus mobile-bearing total knee arthroplasty: a prospective randomised, clinical and radiological study with mid-term results at 7 years. Knee 15:206–210

    Article  PubMed  Google Scholar 

  19. McEwen HM, Barnett PI, Bell CJ, Farrar R, Auger DD, Stone MH et al (2005) The influence of design, materials and kinematics on the in vitro wear of total knee replacements. J Biomech 38:357–365

    Article  PubMed  CAS  Google Scholar 

  20. Minoda Y, Kobayashi A, Iwaki H, Miyaguchi M, Kadoya Y, Ohashi H et al (2004) Characteristics of polyethylene wear particles isolated from synovial fluid after mobile-bearing and posterior-stabilized total knee arthroplasties. J Biomed Mater Res B Appl Biomater 71:1–6

    Article  PubMed  Google Scholar 

  21. O’Rourke MR, Callaghan JJ, Goetz DD, Sullivan PM, Johnston RC (2002) Osteolysis associated with a cemented modular posterior-cruciate-substituting total knee design: five to eight-year follow-up. J Bone Joint Surg (Am) 84A:1362–1371

    Google Scholar 

  22. Price AJ, Rees JL, Beard D, Juszczak E, Carter S, White S et al (2003) A mobile-bearing total knee prosthesis compared with a fixed-bearing prosthesis. A multicentre single-blind randomised controlled trial. J Bone Joint Surg (Br) 85:62–67

    Article  CAS  Google Scholar 

  23. Ranawat AS, Rossi R, Loreti I, Rasquinha VJ, Rodriguez JA, Ranawat CS (2004) Comparison of the PFC Sigma fixed-bearing and rotating-platform total knee arthroplasty in the same patient: short-term results. J Arthroplasty 19:35–39

    Article  PubMed  Google Scholar 

  24. Rao V, Targett JP (2003) Instability after total knee replacement with a mobile-bearing prosthesis in a patient with multiple sclerosis. J Bone Joint Surg (Br) 85B:731–732

    Google Scholar 

  25. Ridgeway S, Moskal JT (2004) Early instability with mobile-bearing total knee arthroplasty: a series of 25 cases. J Arthroplasty 19:686–693

    Article  PubMed  Google Scholar 

  26. Thompson NW, Wilson DS, Cran GW, Beverland DE, Stiehl JB (2004) Dislocation of the rotating platform after low contact stress total knee arthroplasty. Clin Orthop 425:207–211

    Article  PubMed  Google Scholar 

  27. Vertullo CJ, Easley ME, Scott WN, Insall JN (2001) Mobile bearings in primary knee arthroplasty. J Am Acad Orthop Surg 9:355–364

    PubMed  CAS  Google Scholar 

  28. Woolson ST, Northrop GD (2004) Mobile- vs. fixed-bearing total knee arthroplasty: a clinical and radiologic study. J Arthroplasty 19:135–140

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Orthopaedic Surgery, Mie University Graduate School of Medicine, 2-174 Edobashi, Tsu, Mie, 514-8507, Japan

    Masahiro Hasegawa, Akihiro Sudo & Atsumasa Uchida

Authors
  1. Masahiro Hasegawa
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Akihiro Sudo
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Atsumasa Uchida
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Masahiro Hasegawa.

Rights and permissions

Reprints and permissions

About this article

Cite this article

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

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00167-008-0662-3

Keywords

Search

Navigation