Volume 393, Issue 10172, Pages (February 2019)

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Presentation transcript:

Volume 393, Issue 10172, Pages 655-663 (February 2019) How long does a knee replacement last? A systematic review and meta-analysis of case series and national registry reports with more than 15 years of follow-up Jonathan T Evans, MRCS, Robert W Walker, MRCS, Jonathan P Evans, MSc, Prof Ashley W Blom, PhD, Adrian Sayers, MSc, Michael R Whitehouse, PhD The Lancet Volume 393, Issue 10172, Pages 655-663 (February 2019) DOI: 10.1016/S0140-6736(18)32531-5 Copyright © 2019 The Author(s). Published by Elsevier Ltd. This is an Open Access article under the CC BY 4.0 license Terms and Conditions

Figure 1 Flow chart of case series and cohort study selection TKR=total knee replacement. UKR=unicondylar knee replacement. PKR=patellofemoral replacement. The Lancet 2019 393, 655-663DOI: (10.1016/S0140-6736(18)32531-5) Copyright © 2019 The Author(s). Published by Elsevier Ltd. This is an Open Access article under the CC BY 4.0 license Terms and Conditions

Figure 2 Forest plot of estimates for reported survival of knee replacements from case series11–32 (A) Total knee replacements at 15 years and 20 years. (B) Unicondylar knee replacements at 15 years, 20 years, and 25 years. The CIs for individual point estimates are shown with horizontal lines. The surrounding box shows the contribution made by that individual estimate to the overall pooled estimate, weighted by the standard error of that individual series. The Lancet 2019 393, 655-663DOI: (10.1016/S0140-6736(18)32531-5) Copyright © 2019 The Author(s). Published by Elsevier Ltd. This is an Open Access article under the CC BY 4.0 license Terms and Conditions

Figure 3 Forest plot of estimates for reported survival of total knee replacements from registry reports at 15 years, 20 years, and 25 years The Lancet 2019 393, 655-663DOI: (10.1016/S0140-6736(18)32531-5) Copyright © 2019 The Author(s). Published by Elsevier Ltd. This is an Open Access article under the CC BY 4.0 license Terms and Conditions

Figure 4 Forest plot of estimates for reported survival of unicondylar knee replacements from registry reports at 15 years, 20 years, and 25 years The Lancet 2019 393, 655-663DOI: (10.1016/S0140-6736(18)32531-5) Copyright © 2019 The Author(s). Published by Elsevier Ltd. This is an Open Access article under the CC BY 4.0 license Terms and Conditions

Figure 5 Comparison of pooled survival estimates for knee replacements from case series and registry reports at 15 years, 20 years, and 25 years (A) Total knee replacements. (B) Unicondylar knee replacements. The size of the circle representing each point estimate is proportional to the total number of hip replacements at the start of all the series contributing to that pooled estimate. Bars indicate 95% CIs. TKR=total knee replacement. UKR=unicondylar knee replacements. The Lancet 2019 393, 655-663DOI: (10.1016/S0140-6736(18)32531-5) Copyright © 2019 The Author(s). Published by Elsevier Ltd. This is an Open Access article under the CC BY 4.0 license Terms and Conditions