ArticleKnee surgery, sports traumatology, arthroscopy : official journal of the ESSKA2017
Proprioception after bicruciate-retaining total knee arthroplasty is comparable to unicompartmental knee arthroplasty.
Article in Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 2 of them syntheses that pooled it.
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Who cites it
23 citing papers in PubMed, 2 syntheses or guidelines pooled it, 53 citations in OpenAlex.
- Meta-analysis of the efficacy of lateral unicompartmental knee arthroplasty and total knee arthroplasty in the treatment of isolated lateral compartment knee osteoarthritis.Journal of orthopaedic surgery and research · 2025Pooled it
- Patient relevant outcomes of unicompartmental versus total knee replacement: systematic review and meta-analysis.BMJ (Clinical research ed.) · 2019Pooled it
- Bicruciate-retaining total knee arthroplasty non-inferior to posterior-stabilized prostheses after 5 years: a randomized, controlled trial.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2023Trial
- Anatomically-designed bicruciate-retaining total knee arthroplasty demonstrates good two-year survivorship and improvements in patient-reported outcomes: A prospective multicenter single-arm study.Journal of experimental orthopaedics · 2025Article
- Article
- Early postoperative gait characteristics after unicompartmental knee arthroplasty: results and clinical implications.BMC musculoskeletal disorders · 2025Article
- Gradual restoration of gait following unicompartmental knee arthroplasty: a prospective study.Journal of orthopaedic surgery and research · 2025Article
- Association between femorotibial rotational mismatch and early clinical outcomes after bi-cruciate retaining total knee arthroplasty.BMC musculoskeletal disorders · 2025Article
- Does backward gait require more proprioception and balance in older adults after total knee arthroplasty?Journal of orthopaedics · 2024Article
- Acute effects of tissue flossing on boxers with chronic knee pain.Frontiers in bioengineering and biotechnology · 2024Article
- Short-term clinical results of bicruciate-retaining total knee arthroplasty using personalized alignment.BMC musculoskeletal disorders · 2023Article
- Association between pre- and postoperative rotational mismatches of the femorotibial components and bones in bi-cruciate retaining and posterior stabilized total knee arthroplasty.Scientific reports · 2023Article
- Limited effect of anatomical insert geometry on in vitro laxity in balanced anatomic posterior cruciate ligament retaining total knee arthroplasty.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2022Article
- Bicruciate-retaining total knee arthroplasty: What's new?World journal of orthopedics · 2021Review
- Does Posterior Cruciate Ligament Retention or Sacrifice in Total Knee Replacement Affect Proprioception? A Systematic Review.Journal of clinical medicine · 2021Review
- Early results with a bicruciate-retaining total knee arthroplasty: a match-paired study.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2021Article
- Indications for bi-cruciate retaining total knee replacement: An international survey of 346 knee surgeons.PloS one · 2020Article
- Arthroscopy combined with unicondylar knee arthroplasty for treatment of isolated unicompartmental knee arthritis: A long-term comparison.World journal of clinical cases · 2019Article
- Comparing single and multi-joint methods to detect knee joint proprioception deficits post primary unilateral total knee arthroplasty.Clinical biomechanics (Bristol, Avon) · 2019Article
- Native rotational knee kinematics are lost in bicruciate-retaining total knee arthroplasty when the tibial component is replaced.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2018Article
Corrections and comments
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Authors and funding
7 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeRising expectations in functional performance of total knee joints are inciting further improvement of knee arthroplasty implants. From a patient-centred view, bicruciate-retaining models provide a more natural feeling knee. However, there is no evidence of functional advantage for these implants. The aim of this study was to evaluate balance ability as a measure of proprioception in patients with a bicruciate-retaining total knee arthroplasty.
methodsA prospective, controlled trial was conducted to compare balance ability in 60 patients after arthroplasty of the knee for osteoarthritis. We compared patients with a bicruciate-retaining knee arthroplasty (BCR group) to a control group of patients with a medial unicompartmental knee arthroplasty (UKA group) and another control group of patients with a posterior stabilized total knee arthroplasty (PS group). The patient population comprised 30 women (50.0 %) and 30 men in three cohorts of 20 each. The mean age was 62.1 ± 8.0 years (range 43-78). Patients were evaluated preoperatively and 9 months post-operatively. The evaluation included clinical, radiological, and balance testing-a single-leg stance with eyes closed compared to eyes open. The difference in area of sway between eyes closed and eyes open represents static balance ability after knee arthroplasty.
resultsPerioperative data showed that there was no intra-operative fracture of the intercondylar eminence. There was a decreased post-operative knee extension 9 months post-operative in the BCR group, which was not clinically relevant in any case. We recorded a lower difference in the area of sway between eyes closed and eyes open (ΔA
conclusionsThis study found superior static balance ability after preservation of both cruciate ligaments in arthroplasty of the knee, indicating superior proprioceptive function. Hence, BCR implants could provide improved functional properties. Superior proprioceptive function of bicruciate-retaining implants can be an important factor in implant selection. Further prospective, randomized studies to investigate kinematics and long-term survivorship of bicruciate-retaining implants are needed. LEVEL OF EVIDENCE: II.
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