ArticleKnee surgery, sports traumatology, arthroscopy : official journal of the ESSKA2014
No difference in gait between posterior cruciate retention and the posterior stabilized design after total knee arthroplasty.
Article in Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 3 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
17 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Comparison of posterior cruciate retention and substitution in total knee arthroplasty during gait: a systematic review and meta-analysis.Journal of orthopaedic surgery and research · 2022Pooled it
- Posterior-stabilized versus cruciate-retained implants for total knee arthroplasty: a meta-analysis of clinical trials.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2019Pooled it
- Posterior Cruciate Ligament Retention versus Posterior Stabilization for Total Knee Arthroplasty: A Meta-Analysis.PloS one · 2016Pooled it
- Comparison of Clinical and Patient Reported Outcomes in One-Sided Cruciate-Retaining Versus Other-Sided Posterior Stabilizing Protheses in Bilateral Simultaneous Total Knee Arthroplasty.Indian journal of orthopaedics · 2025Article
- Gait analysis of a kinematic retaining implant for Total knee replacements during walking and running.Journal of orthopaedics · 2024Article
- Cruciate-substituting and posterior-stabilised total knee arthroplasties had similar gait patterns in the short term.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2023Article
- Comparison of Survival Rate between Posterior-Stabilized and Constrained Condylar Articulations in Revision Total Knee Arthroplasty: A Minimum 5-Year Follow-up Analysis.Clinics in orthopedic surgery · 2023Article
- Similar rate of return to sports activity between posterior-stabilised and cruciate-retaining primary total knee arthroplasty in young and active patient.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2023Article
- Differences in gait kinetics and kinematics between patients with rotating hinge knee and cruciate-retaining prostheses: a cross-sectional study.Journal of physical therapy science · 2022Article
- Recommendations for Patients with High Return to Sports Expectations after TKA Remain Controversial.Journal of clinical medicine · 2020Article
- Slow gait speed after bilateral total knee arthroplasty is associated with suboptimal improvement of knee biomechanics.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2018Article
- Deficits in functional performance and gait one year after total knee arthroplasty despite improved self-reported function.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2017Article
- Improved knee biomechanics among patients reporting a good outcome in knee-related quality of life one year after total knee arthroplasty.BMC musculoskeletal disorders · 2017Article
- Posterior cruciate-retaining versus posterior-stabilized total knee arthroplasty for osteoarthritis with severe varus deformity.Acta orthopaedica et traumatologica turcica · 2017Article
- Clinical outcome after total knee replacement.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2015Article
- Comparison of outcomes after bilateral simultaneous total knee arthroplasty using posterior-substituting versus cruciate-retaining prostheses.Saudi medical journal · 2015Article
- Total knee arthroplasty designed to accommodate the presence or absence of the posterior cruciate ligament.Advances in orthopedics · 2014Article
Corrections and comments
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeIn the present study, knee joint kinematics (e.g. knee flexion/extension) and kinetics (e.g. knee flexion moments) are assessed after total knee arthroplasty (TKA) between patients implanted with either a unilateral posterior stabilized (PS) and a posterior cruciate-retaining (PCR) design. It was hypothesized that maximum knee flexion during the loading response of the stance phase is greater in patients implanted with a PS design than in patients with a PCR design. Secondarily, it was hypothesized that patients with a PS design show decreased knee flexion moments during loading, compared with patients implanted with a PCR design.
methodsThis study examined two groups of TKA patients: one group (n = 12) with a PS design in which the posterior cruciate ligament (PCL) was sacrificed and the other (n = 9) with a PCR design. Gait analysis was used in level walking before and 6-9 months after surgery, to assess knee joint kinematics and kinetics during the loading response of the stance phase.
resultsNo significant differences in maximum knee flexion between the two groups were found during the loading response of the stance phase. No significant differences in knee flexion moments were found either. Although in both groups knee flexion moments increased postoperatively, this was not statistically significant. In the contralateral (nonimplanted) knees, all mean knee flexion moments decreased postoperatively for both groups, yet this was not significant.
conclusionsThe present gait analysis study showed no differences in kinematics and kinetics between the PS and the PCR TKP design. This might suggest that surgeons do not necessarily need to substitute the PCL by a PS design during TKA. LEVEL OF EVIDENCE: Prospective comparative study, Level II.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.