ArticleKnee surgery, sports traumatology, arthroscopy : official journal of the ESSKA2017
Kinematics of a bicruciate-retaining total 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 17 papers.
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Who cites it
17 citing papers in PubMed, 39 citations in OpenAlex.
- Fluoroscopic and radiostereometric analysis of a bicruciate-retaining versus a posterior cruciate-retaining total knee arthroplasty: a randomized controlled trial.The bone & joint journal · 2023Trial
- Comparison of Marker-Based and Stereo Radiography Knee Kinematics in Activities of Daily Living.Annals of biomedical engineering · 2018Trial
- Intraoperative kinematics of the bicruciate retaining TKA using functional alignment and their influence on the clinical outcomes.Arthroplasty (London, England) · 2025Article
- Histopathological Evaluation of the Anterior Cruciate Ligament in Patients With Advanced Gonarthrosis.International journal of rheumatic diseases · 2025Article
- Sensitivity of Model-Based Predictions of Post-TKA Kinematic Behavior to Residual Errors in Ultrasound-Based Knee Collateral Ligament Strain Assessment.Sensors (Basel, Switzerland) · 2023Article
- Bicruciate-retaining total knee arthroplasty procedure reduced tensile force in the middle and posterior components of lateral collateral ligament during deep knee flexion activities with no effect on tensile force of the medial collateral ligament.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2023Article
- Impact of increasing total knee replacement constraint within a single implant line on coronal stability: an ex vivo investigation.Archives of orthopaedic and trauma surgery · 2023Article
- Native knee kinematics is not reproduced after sensor guided cruciates substituting total knee arthroplasty.Journal of experimental orthopaedics · 2023Article
- Does contemporary bicruciate retaining total knee arthroplasty restore the native knee kinematics? A descriptive literature review.Archives of orthopaedic and trauma surgery · 2022Review
- Biomechanics and Outcomes of Modern Tibial Polyethylene Inserts.Current reviews in musculoskeletal medicine · 2022Review
- 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
- Early results with a bicruciate-retaining total knee arthroplasty: a match-paired study.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2021Article
- In vivo kinematics and cruciate ligament forces in bicruciate-retaining total knee arthroplasty.Scientific reports · 2021Article
- Does bicompartmental knee arthroplasty hold an advantage over total knee arthroplasty? Systematic review and meta-analysis.SICOT-J · 2021Article
- The medial constrained insert restores native knee rotational kinematics after bicruciate-retaining total knee arthroplasty.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 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
8 authors at 3 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeThe recently reintroduced bicruciate-retaining Total Knee Arthroplasty (BCR TKA) is an interesting approach in the quest for close replication of knee joint biomechanics and kinematics closer to the native knee. Therefore, this study aimed at providing a detailed biomechanical view on the functional resemblance of BCR TKA to the native knee joint.
methodsSeven fresh-frozen full leg cadaver specimens (76 ± 10 year) were mounted in a 6 degrees-of-freedom kinematic rig that applied a dynamic squatting motion knee flexion. Two motion patterns were performed pre- and post-implantation of a fixed bearing BCR TKA: passive flexion-extension and squatting while an infrared camera system tracked the location of reflective markers attached to the tibia and femur. Additionally, specimen laxity was assessed using Lachman tests and varus/valgus stress tests in triplicate.
resultsOverall, differences in tibiofemoral kinematics between native knee and BCR TKA were small. Some minor differences appeared under the load of a squat: less internal tibial rotation and some minor paradoxical anterior translation of the medial femoral condyle during mid-flexion. BCR TKA may slightly elevate the joint line. Knee laxity as measured by the Lachman and varus/valgus tests was not significantly influenced by BCR TKA implantation.
conclusionAs both cruciate ligaments are preserved with BCR TKA the unloaded knee closely resembles native knee kinematics including preserving the rollback mechanism. The loss of the conforming anatomy of menisci and tibial cartilage and replacement via a relatively flat polyethylene inlay may account for the loss of tibial internal rotation and the slight paradoxical AP motion of the medial femoral condyle with BCR TKA. This phenomenon reproduces findings made earlier with fixed bearing unicondylar knee arthroplasty.
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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.