ArticleKnee surgery, sports traumatology, arthroscopy : official journal of the ESSKA2020
Knee joint laxity is restored in a bi-cruciate retaining TKA-design.
Article in Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
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Who cites it
11 citing papers in PubMed.
- Bicruciate-retaining versus cruciate-retaining total knee arthroplasty in implant fixation: a 10-year follow-up of a randomized RSA trial.Acta orthopaedica · 2026Trial
- 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
- Medial stability and lateral flexibility of the collateral ligaments during mid-range flexion in medial-pivot total knee arthroplasty patients demonstrates favorable postoperative outcomes.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2023Article
- Does contemporary bicruciate retaining total knee arthroplasty restore the native knee kinematics? A descriptive literature review.Archives of orthopaedic and trauma surgery · 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
- The contralateral knee is a good predictor for determining normal knee stability: a cadaveric study.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2022Article
- Muscle loaded stability reflects ligament-based stability in TKA: a cadaveric study.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2022Article
- A short-term radiological and clinical comparison between the bi-cruciate and cruciate retaining total knee arthroplasty A retrospective case controlled study.Journal of clinical orthopaedics and trauma · 2021Article
- Anatomical bi-cruciate retaining TKA improves gait ability earlier than bi-cruciate stabilized TKA based on triaxial accelerometery data: A prospective cohort study.Asia-Pacific journal of sports medicine, arthroscopy, rehabilitation and technology · 2021Article
- Knee Prosthesis in the Computer Era.Orthopaedic surgery · 2021Review
- CORR Insights®: Are There Differences in Micromotion on Radiostereometric Analysis Between Bicruciate- and Cruciate-retaining Designs in TKA? A Randomized Controlled Trial.Clinical orthopaedics and related research · 2020Article
Corrections and comments
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeThe goal is to evaluate the passive stability of a bicruciate retaining, cruciate retaining and bicruciate substituting TKA design in relation to the native knee stability in terms of the laxity envelope. A bicruciate retaining knee prosthesis was hypothesized to offer a closer to normal knee stability in vitro.
methodsFourteen cadaveric knee specimens have been tested under passive conditions with and without external loads, involving a varus/valgus and an external/internal rotational torque, distraction/compression force and an anteroposterior shear force. Subsequently, the native knee, bicruciate retaining, cruciate retaining and finally a bicruciate substituting total knee arthroplasty were tested.
resultsThrough the range of motion, the width of the varus/valgus and internal/external laxity envelope for the native knee and the bicruciate retaining knee were almost equivalent, whereas the cruciate retaining and the bicruciate substituting knee displayed less laxity and more joint distraction. In all prosthetic knees, an equal anteroposterior laxity was seen for the lateral and medial side whereas in the native knee, a difference in laxity was seen between the stable medial side and the more mobile lateral side.
conclusionBicruciate retaining knee prostheses can restore normal laxity and thus have the potential to offer more normal knee function. Restoration of natural peri-articular soft-tissue tension is clinically important because of its obvious effects on joint stability and range of motion. Furthermore, the results of this study could help to establish the ideal ligament tension and laxity in more conventional implants by approaching the normal values for passive knee evaluation as presented here.
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Registered trials
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