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Table 4 Literature review for previous studies that compared the outcome results between the PFC Sigma and ATTUNE knee systems

From: Midterm functional recovery of Total knee arthroplasty patients compared between the ATTUNE knee system and the press fit condylar (PFC) SIGMA knee system

Paper

Year of publication

Type of study

Duration

Sample size

Outcomes

Findings

Indelli, et al. [31]

2016

Prospective, matched-pair

2 years

200

KSS, ROM, Oxford knee score, satisfaction rate

ATTUNE had a significantly lower incidence of anterior knee pain (2% vs. 9%, p = 0.006), but significantly higher ROM (123 degrees vs. 115 degrees, p = 0.0009)

Ranawat, et al. [7]

2017

Prospective, matched-pair

2 years

200

KSS, anterior knee pain, crepitation, satisfaction rate

ATTUNE had a significantly lower incidence of anterior knee pain (12.5% vs. 25.8%, p = 0.02) and crepitation (17.7% vs. 30.9%, p = 0.02)

Martin, et al. [32]

2017

Retrospective

2 years

1893

KSS, ROM, crepitation

ATTUNE had a significantly lower incidence of crepitation (0.8% vs. 9.4%, p < 0.001)

Song, et al. [33]

2018

Prospective

2 years

600

KSS, ROM, risk of patella injury

ATTUNE had a significantly higher knee score domain in the KSS (93.1 vs. 88.8 points, p < 0.001) and ROM (131.4 vs. 129.0 degrees, p = 0.008)

Chua, et al. [28]

2019

Prospective

2 years

130

KSS, ROM, Oxford knee score, Short Form-36, satisfaction rate

No significant differences in any outcome measurements

Molloy, et al. [29]

2019

Prospective

2 years

2116

Patient-reported outcome measures, ROM, reoperative rate

No significant differences in any outcome measurements

Hauer, et al. [27]

2020

Randomized control trial

2 years

158

KSS, ROM, WOMAC, VAS

No significant differences in any outcome measurements

White, et al. [23]

2020

Combined prospective & retrospective, matched-pair

5 years

154

KSS, WOMAC, anterior knee pain, crepitation, residual pain, satisfaction rate

ATTUNE had a significantly lower incidence of residual pain (19.5% vs. 36.3%, p = 0.02)

Maniar, et al. [30]

2020

Prospective, matched-pair

2 years

144

New KSS, ROM, WOMAC, anterior knee pain, crepitation

No significant differences in any outcome measurements

The present study

 

Retrospective

5 year

113

Modified knee score, ROM, NRS-pain, TUG, 2MWT, anterior knee pain, crepitation, patellar clunk

ATTUNE had a significantly higher ROM at the 5-year postoperative follow-up (115.8 vs. 110.0 degrees, p = 0.041)

  1. Abbreviations: PFC, Press Fit Condylar; KSS, Knee Society Score; ROM, range of motion; WOMAC, Western Ontario and McMaster Universities Osteoarthritis Index; VAS, visual analog scale for pain; TUG, timed up and go test; 2MWT, two-minute walk test; NRS-pain, numerical rating scale-pain