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No significant differences in results between high-flexion and standard PS TKA

Orthopedics. 2015 Mar 1;38(3):e206-12

Meta-analysis Arthroplasty Lower Extremity Knee High-Flexion Posterior Stabilized Prostheses TKA - Hide

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Higher ROM achieved with high-flex TKA; no significant effect on functional outcome

Med Sci Monit. 2015 Jun 9;21:1679-86

Meta-analysis Arthroplasty Lower Extremity Knee Control Conventional High-Flexion Implants Prostheses Replacement ROM TKA - Hide

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Comparison of high-flexion knee prostheses

J Bone Joint Surg Am. 2009 Apr;91(4):753-60

RCT Arthroplasty Osteoarthritis Lower Extremity Knee Arthritis NexGen Cruciate-Substituting High-Flexion Posterior Cruciate-Retaining Prosthesis Prostheses - Hide

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TKA: Non-weight-bearing passive flexion: Motion metrics improved with high flexion device

J Arthroplasty. 2013 Mar;28(3):429-38. doi: 10.1016/j.arth.2012.07.019. Epub 2012 Dec 6

RCT Arthroplasty Lower Extremity Knee DePuy High Flexion Non-Weight-Bearing Passive Flexion Posterior Stabilized TKA - Hide

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No substantial increase in ROM with high-flexion implants in TKA

J Arthroplasty. 2015 Apr;30(4):573-9

Meta-analysis Arthroplasty Lower Extremity Knee NexGen High-Flexion Implants Posterior-Stabilized Primary TKA Prostheses ROM - Hide

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High-flex TKA does not provide benefit over standard TKA for ROM or clinical outcomes

J Arthroplasty. 2015 Apr;30(4):580-586

Meta-analysis Arthroplasty Lower Extremity Knee High-Flexion Primary TKA Prostheses Replacement ROM Standard TKA Surgical Technique - Hide

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Role of high flexion implant design for cruciate-retaining TKA

J Arthroplasty. 2014 May;29(5):961-5

RCT Arthroplasty Lower Extremity Knee Stryker Cruciate-Retaining High Flexion Implant TKA - Hide

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High-flex versus standard NexGen prosthesis in total knee arthroplasty

Knee Surg Sports Traumatol Arthrosc. 2015 Jun;23(6):1598-609

Meta-analysis Arthroplasty Lower Extremity Knee NexGen High-Flexion Implants LPS-Flex Prosthesis Posterior Stabilized Prostheses Replacement ROM - Hide

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AAOS2017: No clinical/radiographic advantage or disadvantage of high-flexion TKA

RCT Arthroplasty Lower Extremity Knee Bone Femur Cruciate-Substituting High-Flexion Prosthesis - Hide

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No clinical advantage of high-flexion versus standard prostheses in TKA

J Arthroplasty. 2015 Jun;30(6):980-6

Meta-analysis Arthroplasty Lower Extremity Knee High-Flexion Prostheses Prosthesis Replacement ROM TKA - Hide

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Nexgen high flexion design offeres comparable ROM to standard implant for TKA

J Bone Joint Surg Br. 2008 Jan;90(1):37-42

RCT Arthroplasty Osteoarthritis Lower Extremity Knee Zimmer NexGen High Flexion Posterior Stabilized Implant Replacement TKA - Hide

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Assessing flexion, pain, weight-bearing flexion following mobile-bearing high-flexion TKR

J Bone Joint Surg Br. 2012 Aug;94(8):1051-7.

RCT Arthroplasty Osteoarthritis Lower Extremity Knee Joint Ligament Arthritis Pain DePuy Fixed-Bearing High-Flexion Mobile-Bearing Posterior-Stabilized Replacement Rotating-Platform Weight-Bearing - Hide

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High-flex and standard rotating platform TKA show no difference in postoperative flexion

J Arthroplasty. 2011 Sep;26(6 Suppl):28-34. doi: 10.1016/j.arth.2011.03.045. Epub 2011 Jul 1

RCT Arthroplasty Osteoarthritis Lower Extremity Knee Arthritis DePuy Flexion High-Flex Standard Rotating Platform TKA - Hide

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Differences in outcomes between standard and high-flexion knee prosthesis in TKR

J Bone Joint Surg Am. 2010 Nov 17;92(16):2634-42.

RCT Arthroplasty Osteoarthritis Lower Extremity Knee Arthritis Sigma Bearing High-Flexion Platform Posterior-Stabilized Prosthesis - Hide

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No clinical or functional benefit of gender-specific high-flexion TKA implant in females

J Orthop Surg (Hong Kong). 2012 Aug;20(2):153-6

RCT Arthroplasty Osteoarthritis Women Lower Extremity Knee Arthritis Zimmer NexGen Gender-Specific High-Flexion Prosthesis TKA - Hide

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No difference in ROM between high-flexion and standard cruciate retaining TKA at 36 months

Knee Surg Sports Traumatol Arthrosc. 2015 Jun;23(6):1591-7.

RCT Arthroplasty Osteoarthritis Lower Extremity Knee Arthritis DePuy High-Flexion Implant TKA System - Hide

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Similar 2-year outcomes between high-flex and standard devices in bilateral TKA

J Arthroplasty. 2016 Apr;31(4):802-8

RCT Arthroplasty Osteoarthritis Lower Extremity Knee Arthritis Sigma Bilateral High-Flexion Posterior-Stabilized - Hide

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High-flex TKA provides small increase in max ROM over conventional TKA

Knee Surg Sports Traumatol Arthrosc. 2015 Jun;23(6):1610-21

Meta-analysis Arthroplasty Lower Extremity Knee Conventional TKA High-Flex Primary TKA Prostheses ROM - Hide

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High flexion vs. conventional prostheses in TKA: similar migration and clinical outcomes

J Bone Joint Surg Am. 2013 Oct 2;95(19):e1411-11

RCT Arthroplasty Lower Extremity Knee Zimmer LPS Mobile NexGen Conventional Mobile Bearing High-Flexion Mobile Bearing Prostheses Prosthesis - Hide

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Postoperative flexion may reduce blood loss and improve ROM following TKA

Knee Surg Sports Traumatol Arthrosc. 2015 Mar;23(3):852-9

Meta-analysis Arthroplasty Lower Extremity Knee Blood Loss Extension Flexion Post-Operative Prosthesis Replacement ROM Splinting TKA - Hide

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No significant differences in results between high-flexion and standard PS TKA

Higher ROM achieved with high-flex TKA; no significant effect on functional outcome

Comparison of high-flexion knee prostheses

TKA: Non-weight-bearing passive flexion: Motion metrics improved with high flexion device

No substantial increase in ROM with high-flexion implants in TKA

High-flex TKA does not provide benefit over standard TKA for ROM or clinical outcomes

Role of high flexion implant design for cruciate-retaining TKA

High-flex versus standard NexGen prosthesis in total knee arthroplasty

AAOS2017: No clinical/radiographic advantage or disadvantage of high-flexion TKA

No clinical advantage of high-flexion versus standard prostheses in TKA

Nexgen high flexion design offeres comparable ROM to standard implant for TKA

Assessing flexion, pain, weight-bearing flexion following mobile-bearing high-flexion TKR

High-flex and standard rotating platform TKA show no difference in postoperative flexion

Differences in outcomes between standard and high-flexion knee prosthesis in TKR

No clinical or functional benefit of gender-specific high-flexion TKA implant in females

No difference in ROM between high-flexion and standard cruciate retaining TKA at 36 months

Similar 2-year outcomes between high-flex and standard devices in bilateral TKA

High-flex TKA provides small increase in max ROM over conventional TKA

High flexion vs. conventional prostheses in TKA: similar migration and clinical outcomes

Postoperative flexion may reduce blood loss and improve ROM following TKA

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