Extramedullary versus intramedullary tibial alignment technique in total knee arthroplasty: A meta-analysis of randomized controlled trials

AUTOR(ES)

Zeng, Huan Bei, Ying, Xiao Zhou, Chen, Guang Jun, Yang, Xia Qing, Lin, Duo Duo, Li, Zhi Jie, Liu, Hai Xiao

FONTE

Clinics

DATA DE PUBLICAÇÃO

2015-10

RESUMO

The aim of this study was to establish whether the use of an extramedullary or intramedullary tibial cutting guide leads to superior mechanical leg axis and implant positioning. A meta-analysis of six randomized controlled trials including 350 knees was performed. For the mechanical axis, frontal tibial component angle and tibial slope, there were no significant differences in the mean values or the number of outliers (±3°) between the extramedullary and intramedullary groups. A reduced tourniquet time was associated with the intramedullary guide. No significant difference in the complication rate was noted between the two groups. Neither extramedullary nor intramedullary tibial alignment was more accurate in facilitating the tibial cut. Use of an intramedullary guide results in a shorter tourniquet time and exhibits a similar complication rate as the extramedullary guide.

Documentos Relacionados

• Analgesia for total knee arthroplasty: a meta-analysis comparing local infiltration and femoral nerve block
• Dexamethasone and bacterial meningitis. A meta-analysis of randomized controlled trials.
• Techniques for liver parenchymal transection: a meta-analysis of randomized controlled trials
• Aspirin versus Rivaroxaban to Prevent Venous Thromboembolism after Total Knee Arthroplasty: A Double-blinded, Randomized Controlled Trial
• Endoscopic versus microscopic transsphenoidal surgery in the treatment of pituitary tumors: systematic review and meta-analysis of randomized and non-randomized controlled trials