A Meta-Analysis Comparing All-Polyethylene Tibial Component to Metal-Backed Tibial Component in Total Knee Arthroplasty

Assessing Survivorship and Functional Outcomes

Benjamin Voss, Mouhanad M. El-Othmani, Anne Kathrin Schnur, Albert Botchway, William Mihalko, Khaled J. Saleh

Research output: Contribution to journalReview article

4 Citations (Scopus)

Abstract

Background This meta-analysis compares the clinical performance of all-polyethylene tibial (APT) to the metal-backed tibial (MBT) components. Methods We included comparative studies in primary total knee arthroplasty involving APT and MBT implant components. The primary outcomes were function, durability, and reports of adverse events. Results Twenty-eight articles with 95 847 knees were available for synthesis. The meta-analysis showed an association of APT with lower revision rates (incidence rate ratio, 0.709; P = .002) and adverse events (incidence rate ratio, 0.785; P = .204). Moderator analyses were performed to determine the effect of posterior cruciate ligament status on outcome, and no statistically significant effect was found for revision risk or adverse events incidence. Conclusion All-polyethylene tibial components seem to be an equal option, with less financial burden than the MBT.

Original languageEnglish (US)
Pages (from-to)2628-2636
Number of pages9
JournalJournal of Arthroplasty
Volume31
Issue number11
DOIs
StatePublished - Nov 1 2016

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Knee Replacement Arthroplasties
Polyethylene
Meta-Analysis
Metals
Incidence
Posterior Cruciate Ligament
Knee

All Science Journal Classification (ASJC) codes

  • Orthopedics and Sports Medicine

Cite this

A Meta-Analysis Comparing All-Polyethylene Tibial Component to Metal-Backed Tibial Component in Total Knee Arthroplasty : Assessing Survivorship and Functional Outcomes. / Voss, Benjamin; El-Othmani, Mouhanad M.; Schnur, Anne Kathrin; Botchway, Albert; Mihalko, William; Saleh, Khaled J.

In: Journal of Arthroplasty, Vol. 31, No. 11, 01.11.2016, p. 2628-2636.

Research output: Contribution to journalReview article

Voss, Benjamin ; El-Othmani, Mouhanad M. ; Schnur, Anne Kathrin ; Botchway, Albert ; Mihalko, William ; Saleh, Khaled J. / A Meta-Analysis Comparing All-Polyethylene Tibial Component to Metal-Backed Tibial Component in Total Knee Arthroplasty : Assessing Survivorship and Functional Outcomes. In: Journal of Arthroplasty. 2016 ; Vol. 31, No. 11. pp. 2628-2636.
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abstract = "Background This meta-analysis compares the clinical performance of all-polyethylene tibial (APT) to the metal-backed tibial (MBT) components. Methods We included comparative studies in primary total knee arthroplasty involving APT and MBT implant components. The primary outcomes were function, durability, and reports of adverse events. Results Twenty-eight articles with 95 847 knees were available for synthesis. The meta-analysis showed an association of APT with lower revision rates (incidence rate ratio, 0.709; P = .002) and adverse events (incidence rate ratio, 0.785; P = .204). Moderator analyses were performed to determine the effect of posterior cruciate ligament status on outcome, and no statistically significant effect was found for revision risk or adverse events incidence. Conclusion All-polyethylene tibial components seem to be an equal option, with less financial burden than the MBT.",
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AU - Voss, Benjamin

AU - El-Othmani, Mouhanad M.

AU - Schnur, Anne Kathrin

AU - Botchway, Albert

AU - Mihalko, William

AU - Saleh, Khaled J.

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N2 - Background This meta-analysis compares the clinical performance of all-polyethylene tibial (APT) to the metal-backed tibial (MBT) components. Methods We included comparative studies in primary total knee arthroplasty involving APT and MBT implant components. The primary outcomes were function, durability, and reports of adverse events. Results Twenty-eight articles with 95 847 knees were available for synthesis. The meta-analysis showed an association of APT with lower revision rates (incidence rate ratio, 0.709; P = .002) and adverse events (incidence rate ratio, 0.785; P = .204). Moderator analyses were performed to determine the effect of posterior cruciate ligament status on outcome, and no statistically significant effect was found for revision risk or adverse events incidence. Conclusion All-polyethylene tibial components seem to be an equal option, with less financial burden than the MBT.

AB - Background This meta-analysis compares the clinical performance of all-polyethylene tibial (APT) to the metal-backed tibial (MBT) components. Methods We included comparative studies in primary total knee arthroplasty involving APT and MBT implant components. The primary outcomes were function, durability, and reports of adverse events. Results Twenty-eight articles with 95 847 knees were available for synthesis. The meta-analysis showed an association of APT with lower revision rates (incidence rate ratio, 0.709; P = .002) and adverse events (incidence rate ratio, 0.785; P = .204). Moderator analyses were performed to determine the effect of posterior cruciate ligament status on outcome, and no statistically significant effect was found for revision risk or adverse events incidence. Conclusion All-polyethylene tibial components seem to be an equal option, with less financial burden than the MBT.

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