Controversies in total knee arthroplasty: Cochrane evidence or surgeons’ philosophy?

Excerpt

Total knee arthroplasty (TKA) is a frequently done and highly successful treatment for end-stage osteoarthritis of the knee joint [1]. The surgeon has to choose from different options such as the adequate cementation technique, a fixed or mobile bearing, retention or sacrifice of the posterior cruciate ligament, or the use of continuous passive motion (CPM). Although research has focused on the improvement of TKA within decades, there are still substantial aspects unclear and not fully understood [1]. From a technical point of view, these aspects seem to offer very different treatment methods and their different clinical impact should be obvious. However, this is not the case. …