Cochrane · systematic review · CD003130

Mobile bearing vs fixed bearing prostheses for posterior cruciate retaining total knee arthroplasty for postoperative functional status in patients with osteoarthritis and rheumatoid arthritis

Hofstede, SN, Nouta, KA, Jacobs, W, et al. · Cochrane Database of Systematic Reviews · 2015 · Cochrane Library

MusculoskeletalAMSTAR 2: not assessed
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
7
current version
GRADE rated
7
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 0 · 0%Very low 0 · 0%Low 6 · 85.7%Moderate 1 · 14.3%High 0 · 0%

Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.

Questions and results

Mobile bearing vs fixed bearing prosthesis for posterior cruciate retaining total knee arthroplasty for postoperative functional status in patients with osteoarthritis and rheumatoid arthritis

Population: patients with posterior cruciate retaining total knee arthroplasty for postoperative functional status in patients with osteoarthritis and rheumatoid arthritis
7 questions
OutcomeEffectEvidenceStatus / GRADE
Pain ‐ measured as KSS pain Knee Society Score, subscore pain. Scale from 0 (severe pain) to 50 (no pain)
Mobile bearing vs fixed bearing prosthesis
no estimate extracted11 studies · 1531 participantsModerate
Downgraded: risk of bias
Function ‐ measured as KSS function Knee Society Score, function. Scale from 0 to 100 (higher scores indicates better function)
Mobile bearing vs fixed bearing prosthesis
no estimate extracted14 studies · 1865 participantsLow
Downgraded: risk of bias, inconsistency
Health‐related quality of life ‐ measured as SF‐12 PCS SF‐12 PCS. Scale from 0 to 100 (higher scores indicate better health‐related quality of life)
Mobile bearing vs fixed bearing prosthesis
no estimate extracted3 studies · 498 participantsLow
Downgraded: risk of bias, inconsistency
Revision surgery
Mobile bearing vs fixed bearing prosthesis
RR 0.817 studies · 2065 participantsLow
Downgraded: risk of bias
Mortality
Mobile bearing vs fixed bearing prosthesis
RR 0.694 studies · 188 participantsLow
Downgraded: risk of bias
Reoperation rate
Mobile bearing vs fixed bearing prosthesis
RR 1.0117 studies · 2065 participantsLow
Downgraded: risk of bias
Other serious adverse events
Mobile bearing vs fixed bearing prosthesis
RR 1.1617 studies · 1732 participantsLow
Downgraded: risk of bias