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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-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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Posterior cruciate substituting TKA implant superior to cruciate retaining

J Arthroplasty. 2012 Mar;27(3):368-74. Epub 2011 Jun 15.

RCT Arthroplasty Osteoarthritis Lower Extremity Knee Arthritis Bilateral High-Flex Cruciate Retaining Implant High-Flex Posterior Cruciate Substituting Implant - 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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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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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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No differences between mobile and fixed bearing TKA prostheses at 2 years

J Arthroplasty. 2012 Mar;27(3):421-9. Epub 2011 Aug 19.

RCT Arthroplasty Lower Extremity Knee Zimmer Fixed Bearing High Flexion Mobile-Bearing Prosthesis 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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Higher flexion devices in TKA have no effect on patient-perceived outcomes

BMC Musculoskelet Disord. 2013 Apr 8;14(1):127. doi: 10.1186/1471-2474-14-127

RCT Arthroplasty Lower Extremity Knee Biomet-Merck Biomet Merck Zimmer Cemented Flexion Prosthesis TKA - 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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TKR: No advantage of gender-specific prosthesis in female osteoarthritis patients

J Bone Joint Surg Br. 2012 Jun;94(6):787-92

RCT Arthroplasty Osteoarthritis Women Lower Extremity Knee Arthritis Zimmer NexGen Cemented Gender-Specific High-Flex Prosthesis Replacement TKR - Hide

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No difference between standard and high flexion cruciate-retaining knee prostheses

J Bone Joint Surg Am. 2009 Aug;91(8):1874-81.

RCT Arthroplasty Lower Extremity Knee NexGen CR-Flex Cruciate-Retaining Flexion Prostheses Prosthesis - Hide

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No difference between high-flex versus standard tibial component dish design in TKA

Knee. 2018 Dec;25(6):1254-1261. doi: 10.1016/j.knee.2018.08.005

RCT Arthroplasty Deformity Osteoarthritis Lower Extremity Knee Bone Tibia Joint Lateral Compartment Medial Compartment Arthritis Kyocera High-Flexion Implanted - Hide

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High flexion prosthesis not clinically or radiographically superior to conventional TKA

J Arthroplasty. 2014 Mar;29(3):530-4. doi: 10.1016/j.arth.2013.07.035. Epub 2013 Nov 21.

RCT Arthroplasty Lower Extremity Knee Zimmer NexGen Conventional High Flexion TKA - 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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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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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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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 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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High-flex TKA provides small increase in max ROM over conventional TKA

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

Posterior cruciate substituting TKA implant superior to cruciate retaining

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

High-flex versus standard NexGen prosthesis in total knee arthroplasty

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

No differences between mobile and fixed bearing TKA prostheses at 2 years

Comparison of high-flexion knee prostheses

Higher flexion devices in TKA have no effect on patient-perceived outcomes

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

TKR: No advantage of gender-specific prosthesis in female osteoarthritis patients

No difference between standard and high flexion cruciate-retaining knee prostheses

No difference between high-flex versus standard tibial component dish design in TKA

High flexion prosthesis not clinically or radiographically superior to conventional TKA

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

Role of high flexion implant design for cruciate-retaining TKA

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

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

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

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