10.6084/m9.figshare.8858555.v1 Daan Koppens Daan Koppens Søren Rytter Søren Rytter Stig Munk Stig Munk Jesper Dalsgaard Jesper Dalsgaard Ole G Sørensen Ole G Sørensen Torben B Hansen Torben B Hansen Maiken Stilling Maiken Stilling Equal tibial component fixation of a mobile-bearing and fixed-bearing medial unicompartmental knee arthroplasty: a randomized controlled RSA study with 2-year follow-up Taylor & Francis Group 2019 RAND MB Oxford UKA 24 months tibial components tibial component migration Equal tibial component fixation trial 62 patients 2 FB UKAs FB group 10- year revision rate leg extension power OKS fixed-bearing unicompartmental knee arthroplasty CI radiostereometric analysis tibial component 2- year follow-up Background FB tibial components fixed-bearing medial unicompartmental knee arthroplasty FB Sigma UKA MB group 1  MB UKA 0.03  mm MTPM mobile-bearing RSA 2019-07-11 12:24:55 Journal contribution https://tandf.figshare.com/articles/journal_contribution/Equal_tibial_component_fixation_of_a_mobile-bearing_and_fixed-bearing_medial_unicompartmental_knee_arthroplasty_a_randomized_controlled_RSA_study_with_2-year_follow-up/8858555 <p>Background and purpose — Differences in stress distribution in a mobile-bearing and fixed-bearing unicompartmental knee arthroplasty (UKA) design might lead to a difference in fixation of the tibial component. We compared tibial component migration of a mobile-bearing (MB) UKA and a fixed-bearing (FB) UKA using radiostereometric analysis.</p> <p>Patients and methods — In a randomized, patient-blinded clinical trial 62 patients received either the MB Oxford UKA or the FB Sigma UKA. The patients were followed for 24 months with radiostereometric analysis. Clinical outcome was assessed with Oxford Knee Score (OKS), RAND-36 and leg extension power.</p> <p>Results — Migration of the tibial components was similar between groups throughout follow-up. At 12 months, MTPM of the tibial component was 0.44 mm (95% CI 0.34–0.55) for the MB group and 0.40 mm (CI 0.31–0.50) for the FB group. Between 12 and 24 months, the tibial components migrated with a median MTPM increase of 0.03 mm (CI –0.02 to 0.08) in the MB group and 0.03 mm (CI –0.02 to 0.07) in the FB group. Continuous migration of the tibial component was found for 1 MB UKA and 2 FB UKAs. Both groups showed similar and clinically relevant improvement in clinical outcome.</p> <p>Interpretation — MB and FB tibial components had similar good fixation and clinical improvement until 2 years. Based on this study, a low 5- to 10-year revision rate can be expected for both implants.</p>