Mode
Text Size
Log in / Sign up

Fixed-bearing TKA shows mean difference of 3.6 in Oxford Knee Score over mobile-bearingFixed and mobile knee implants show similar long term results

AI-generated summary of the cited source, checked by automated accuracy review. How we work

Key Takeaway
Note that fixed-bearing and mobile-bearing TKA show no significant difference in reoperation rates over 19 years.

This randomized trial enrolled 207 patients undergoing total knee arthroplasty (TKA) for osteoarthrosis. The study compared the clinical outcomes of fixed-bearing TKA versus mobile-bearing TKA over a long-term follow-up period.

At the 2-year follow-up mark, the fixed-bearing group achieved a statistically significant mean difference of 3.6 in the Oxford Knee Score (OKS) compared to the mobile-bearing group (95% confidence interval: 0.51 to 6.69, P = 0.0226). However, the authors noted that this difference was not clinically meaningful. At the 10-year follow-up, no statistically significant effect was observed between the two groups.

Regarding long-term durability, the reoperation rate over a 19-year period showed no statistically significant difference between the groups (risk ratio of 1.51, 95% confidence interval: 0.79 to 2.87, P = 0.2096). Data for secondary outcomes included the Western Ontario and McMaster Universities arthritis index and Bristol Knee Score.

Safety and tolerability data were not reported. The study suggests that while a small statistical difference in patient-reported outcomes was noted at 2 years, there is no evidence of a difference in reoperation rates over nearly two decades. Clinical decisions may not be significantly impacted by the choice of bearing type based on these findings.

Living with advanced knee joint damage, known as osteoarthrosis, can make every step painful. When it comes time for a total knee replacement, patients and doctors often have to choose between different types of implants, such as fixed-bearing or mobile-bearing designs. This study looked at how these two options actually hold up over many years.

Researchers followed 207 patients who received these knee replacements. They tracked the patients for up to 19 years to see how they felt and how the implants performed. While there was a slight statistical difference in scores at the two-year mark, the researchers noted that this difference was not large enough to be meaningful in daily life. Most importantly, the study found no significant difference in the number of patients needing a second operation over the nearly 20-year period.

Ultimately, the data suggests that both types of implants provide reliable results for patients. While the two designs differ in how they move, the long-term outcomes for mobility and the need for follow-up surgeries were similar for both groups. You should talk to your surgeon to decide which specific implant is best for your unique needs.

What this means for you:
Patients with knee replacements show similar long-term results and reoperation rates with both fixed and mobile designs.

Common questions

Is one type of knee implant better than the other for long-term use?

The study found no significant difference in the reoperation rate for either fixed-bearing or mobile-bearing implants over a period of up to 19 years. While there was a small difference in scores at the two-year mark, it was not considered clinically meaningful. Both types of implants showed similar long-term results for patients.

How long did the study follow the patients?

The study followed 207 patients who underwent total knee arthroplasty. Researchers collected data for a 10-year follow-up, with some data collected up to a 19-year follow-up period to see how the implants performed over time.

What is osteoarthrosis?

Osteoarthrosis is a condition involving the breakdown of joint cartilage. It is the condition that led the 207 patients in this study to seek a total knee arthroplasty, which is a surgical procedure to replace the damaged joint.

Study Details

Study typeRct
Sample sizen = 207
EvidenceLevel 2
Follow-up732.0 mo
PublishedNov 2026
View Original Abstract ↓
BACKGROUND: The mobile-bearing knee arthroplasty features a highly congruent mobile meniscal bearing allowing both rotation and antero-posterior translation. At present, it remains unclear whether fixed-bearing platforms are clinically advantageous over mobile bearings. In this randomized trial, we sought to compare patient-reported outcomes, complications, and revision rates in patients undergoing fixed versus mobile-bearing total knee arthroplasty (TKA) for osteoarthrosis. METHODS: In this randomized trial, data from 207 patients (105 patients who had mobile-bearing TKA and 102 patients who had fixed-bearing TKA) were gathered between 2001 and 2006. Overall, the mean age at surgery was 61 years (range, 42 to 71) with 105 men and 102 women. The primary outcome was the Oxford Knee Score (OKS) over a 10-year follow-up period. The secondary outcomes were the Western Ontario and McMaster Universities arthritis index, Bristol Knee Score, and postoperative complications. Failure of an implant was defined as revision for any reason and/or removal of any implant for any reason and expressed as a risk ratio. RESULTS: For the primary outcome measure with OKS, there was a statistically significant difference in patient-reported outcome measure (PROM) in favor of the fixed-bearing group at 2-year follow-up (mean difference in OKS was 3.6; 95% confidence interval: 0.51 to 6.69, P = 0.0226). There was no statistically significant effect demonstrated in the reoperation rate between the two intervention groups over a 19-year period (the risk ratio was found to be 1.51 (95% confidence interval: 0.79 to 2.87, P = 0.2096)) or in PROMs at 10 years. CONCLUSIONS: At 2-year follow-up, there was no clinically meaningful difference in PROMs between fixed-bearing and mobile-bearing TKA. In addition, no difference in reoperations was noted at any time point up to the 19-year follow-up.
Free Newsletter

Clinical research that matters. Delivered to your inbox.

Join thousands of clinicians and researchers. No spam, unsubscribe anytime.