ArticleKnee surgery, sports traumatology, arthroscopy : official journal of the ESSKA2019
The medial constrained insert restores native knee rotational kinematics after bicruciate-retaining total knee arthroplasty.
Article in Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
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Who cites it
5 citing papers in PubMed, 17 citations in OpenAlex.
- Intraoperative kinematics of the bicruciate retaining TKA using functional alignment and their influence on the clinical outcomes.Arthroplasty (London, England) · 2025Article
- Does contemporary bicruciate retaining total knee arthroplasty restore the native knee kinematics? A descriptive literature review.Archives of orthopaedic and trauma surgery · 2022Review
- Influence of Bone Morphology on In Vivo Tibio-Femoral Kinematics in Healthy Knees during Gait Activities.Journal of clinical medicine · 2022Article
- Bicruciate-retaining total knee arthroplasty: What's new?World journal of orthopedics · 2021Review
- Knee joint laxity is restored in a bi-cruciate retaining TKA-design.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2020Article
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Authors and funding
8 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeThe aim of this study was to test the hypothesis that the medial constrained insert would reproduce the native knee kinematics after bicruciate-retaining (BCR) total knee arthroplasty (TKA).
methodsUsing an image-free navigation system in six fresh-frozen whole-body cadavers, the rotation angle of the tibia at minimum flexion, at 10° intervals from 0° to 130° flexion, and at maximum flexion during manual passive knee flexion was assessed. The data was collected in native knees, in BCR TKA using a normal flat insert (BCR-XP), and in BCR TKA using a more constrained insert in the medial side (BCR-AS). The differences in the rotation angle of the tibia were statistically evaluated.
resultsThe rotation angles of the tibia in BCR-XP were significantly different from those of the native knees both in the early flexion phase (p = 0.002 at minimum knee flexion, p = 0.002 at 0°, p = 0.041 at 10°, p = 0.009 at 20°, p = 0.026 at 30°) and in the late flexion phase (p = 0.015 at 130°, p = 0.015 at maximum knee flexion), whereas the rotational angles of the tibia in BCR-AS were similar to those of the native knee.
conclusionThis study shows that the rotational kinematics of the native knee is reproduced after BCR TKA with the medial constrained insert. Surgeons and implant designers should be aware that constraint of the medial side in BCR TKA is a crucial factor for restoration of native kinematics which may lead to better clinical outcome.
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