High-flexion total knee arthroplasty: a systematic review
- 8 April 2009
- journal article
- review article
- Published by Springer Nature in International Orthopaedics
- Vol. 33 (4), 887-893
- https://doi.org/10.1007/s00264-009-0774-5
Abstract
This study is a systematic literature review of outcomes following total knee arthroplasty with implants specifically designed to enable increased knee flexion. English language comparative studies without date restriction were identified through a computerised literature search and bibliography review. Nine studies met the inclusion criteria representing a total of 399 high-flexion knee arthroplasties in 370 patients. Five studies reported greater flexion or range of motion; however, the methodological rigour was questionable with inadequate blinding, flawed participant selection, short follow-up periods and functional outcomes which lacked sensitivity. There was insufficient evidence of improved range of motion or functional performance after high-flexion knee arthroplasty.Keywords
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