[Advancement in total knee prosthesis selection].
OBJECTIVE
To discuss the recent advancement of total knee arthroplasty (TKA) in the aspects of prosthesis selection, and compare the clinical effect of every kind of knee prostheses so as to provide more information for clinical application.


METHODS
The literature concerning prosthesis selection was extensively reviewed, and the methods and data were analyzed and summarized.


RESULTS
The major disputes consisted of posterior cruciate retained versus excised, fixed-bearing versus mobile-bearing, high-flex versus standard implants and patella resurfacing versus nonresurfacing for TKA. Every kind of knee prostheses displayed safety and effectiveness in early and medium term follow-up, no significant differences were found in clinical results.


CONCLUSIONS
Prosthesis selection in TKA should be overall considered, and the merits of every kind of prostheses should be judged with long-term follow-up results.
Luo
Shixing
S
Department of Orthopedic Trauma and Hand Surgery, the First Affiliated Hospital of Guangxi Medical University, Nanning Guangxi, 530021, P.R. China.
Zhao
Jinmin
J
Su
Wei
W
D019645:Arthroplasty, Replacement, Knee / Q000295:instrumentation* / Q000379:methods*; D006801:Humans; D007720:Knee Prosthesis