ArticleKnee surgery, sports traumatology, arthroscopy : official journal of the ESSKA2017
Total knee arthroplasty using ultra-congruent inserts can provide similar stability and function compared with cruciate-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 18 papers, 2 of them syntheses that pooled it.
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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.
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Who cites it
18 citing papers in PubMed, 2 syntheses or guidelines pooled it, 50 citations in OpenAlex.
- Equivalent outcomes of ultra-congruent and standard cruciate-retaining inserts in total knee arthroplasty.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2022Pooled it
- Relationship between outcome scores and knee laxity following total knee arthroplasty: a systematic review.Acta orthopaedica · 2019Pooled it
- No differences in clinical outcomes or isokinetic performance between cruciate-substituting ultra-congruent and posterior stabilized total knee arthroplasties: a randomized controlled trial.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2021Trial
- Article
- No difference in patient-reported outcomes or range of motion between ultracongruent and posterior stabilized total knee arthroplasty: A randomized controlled trial.Journal of experimental orthopaedics · 2024Article
- Clinical relevance of roll-back replacement of ultra congruent total knee arthroplasty: comparison of mid-term outcomes with posterior stabilizing design.Archives of orthopaedic and trauma surgery · 2023Article
- The Effect of Congruent Tibial Inserts in Total Knee Arthroplasty: A Network Meta-Analysis of Randomized Controlled Trials.Life (Basel, Switzerland) · 2023Article
- Review
- Modern Total Knee Arthroplasty Bearing Designs and the Role of the Posterior Cruciate Ligament.Arthroplasty today · 2023Article
- Early Outcomes of Dual-Pivot Total Knee Replacement Compared to an Ultracongruent Design.Clinics in orthopedic surgery · 2022Article
- Similar outcomes including maximum knee flexion between mobile bearing condylar-stabilised and fixed bearing posterior-stabilised prosthesis: a case control study.Journal of experimental orthopaedics · 2022Article
- Posterior Cruciate Ligament Resection and Varus Correction in Total Knee Arthroplasty: A Study Using Computer-Assisted Surgery.Arthroplasty today · 2022Article
- Cruciate Substituting Implants in Primary Total Knee Arthroplasty.Advances in orthopedics · 2022Review
- Comparison of Functional Outcomes, Femoral Rollback and Sagittal Stability of Anterior-Stabilized Versus Posterior-Stabilized Total Knee Arthroplasty: A Systematic Review and Meta-analysis of Randomized Controlled Trials.Indian journal of orthopaedics · 2021Review
- Tibial baseplate position and posterior cruciate ligament status impact patient-reported outcomes in conforming dual-pivot bearing total knee arthroplasty.Arthroplasty today · 2021Article
- Article
- Early functional outcomes after condylar-stabilizing (deep-dish) versus standard bearing surface for cruciate-retaining total knee arthroplasty.Knee surgery & related research · 2019Article
- Elongation Patterns of the Collateral Ligaments After Total Knee Arthroplasty Are Dominated by the Knee Flexion Angle.Frontiers in bioengineering and biotechnology · 2019Article
Corrections and comments
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Authors and funding
6 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeRecently, ultra-congruent (UC) inserts have shown successful outcomes following total knee arthroplasty (TKA). It was hypothesized that patients in the UC group would not show significantly different in vivo stability or functional outcomes from those in the cruciate-retaining (CR) group.
methodsThe prospective study enrolled patients who had been treated with either CR or UC TKAs (38 cases in each group), after a minimum 3-year follow-up. The same surgical technique was used with the same femoral components in both groups except for the polyethylene inserts (CR or UC). The clinical outcome measures were knee range of motion (ROM), Hospital for Special Surgery (HSS) score, Knee Society (KS) score, and Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) subscale score. The mediolateral laxity at full extension and anteroposterior laxity at 90° flexion were measured in stress radiographs and compared between the two groups.
resultsBoth the CR and UC groups showed significant improvements in post-operative ROM, HSS, KS, and WOMAC scores without inter-group differences between two groups. Moreover, there were no differences in mediolateral or anteroposterior laxity between the two groups (p > 0.05).
conclusionTKA with posterior cruciate ligament (PCL) resection using the UC design showed comparable functional outcomes with those of CR TKA and provided similar in vivo stability. Therefore, UC inserts can be a good option in TKA without bony box cut when the PCL is damaged during an operation. LEVEL OF EVIDENCE: II.
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