SynthesisJournal of orthopaedic surgery and research2022
Comparison of posterior cruciate retention and substitution in total knee arthroplasty during gait: a systematic review and meta-analysis.
Synthesis in Journal of orthopaedic surgery and research, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis 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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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
19 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Comparison of the clinical efficacy of patellar lateral retraction and patellar eversion in total knee arthroplasty: a systematic review and meta-analysis.BMC musculoskeletal disorders · 2025Pooled it
- Step-by-step insight into gait analysis: A narrative review unlocking knee biomechanics.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2026Review
- Comparative analysis of functional outcomes between cruciate-retaining and posterior-stabilized knee prostheses in obese patients.Orthopadie (Heidelberg, Germany) · 2026Article
- Early Outcomes of Cruciate-Retaining Versus Posterior-Stabilized Total Knee Arthroplasty in Younger Patients: A Prospective Eastern European Cohort Study.Journal of clinical medicine · 2025Article
- Progressive Posterior Tibial Translation in Conventional Cruciate-Retaining Total Knee Arthroplasty: An Observational Study in 151 Osteoarthritic Knees.Indian journal of orthopaedics · 2025Article
- Posterior-stabilized vs cruciate-retaining TKA in osteoarthritic patients with genu recurvatum: a 2-year comparative analysis.BMC musculoskeletal disorders · 2025Article
- The combination of a medial pivot design with kinematic alignment principles in total knee arthroplasty can ensure a closer to normal knee kinematics than combining mechanical alignment and more traditional implant designs: An umbrella review.Journal of experimental orthopaedics · 2025Review
- No clinical relevant differences in early clinical outcomes, patient satisfaction and objective gait and posture analysis between a custom versus off-the-shelf total knee arthroplasty: a prospective controlled study.Archives of orthopaedic and trauma surgery · 2025Article
- Improvement in gait pattern after total knee arthroplasty for knee osteoarthritis.Journal of experimental orthopaedics · 2025Article
- Knowledge, attitude, and practice towards knee osteoarthritis: a regional study in Chinese patients.Clinical rheumatology · 2025Article
- Comparable joint awareness and implant survival at midterm follow-up between CR and PS TKA: An anatomic phenotype-based propensity score-matched analysis.Journal of experimental orthopaedics · 2025Article
- Effect of posterior-stabilized and cruciate-retaining implants on three-dimensional kinematic characteristics after total knee arthroplasty.Joint diseases and related surgery · 2025Article
- Preoperative Physical Factors Predictive of Clinical Outcomes after Total Knee Arthroplasty.Progress in rehabilitation medicine · 2025Article
- Article
- Bone Preservation in Femoral Intercondylar Box Cut - A Comparative Study between Older and Newer Generation Implants.Journal of orthopaedic case reports · 2024Article
- Posterior stabilised total knee arthroplasty is associated with improved post-operative knee specific function, health related quality of life and greater satisfaction when compared to cruciate retaining protheses.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2023Article
- Article
- Review
- Changes in femoral rollback and rotation with increasing coupling in knee arthroplasty-a biomechanical in-vitro study.BMC musculoskeletal disorders · 2023Article
Corrections and comments
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Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundTo compare the gait patterns between posterior cruciate retention and substitution in total knee arthroplasty (TKA).
methodsElectronic databases including the PubMed, Embase, CINAHL, Web of Science, and Cochrane databases were searched to identify clinical trials investigating posterior cruciate retention versus substitution in TKA. The outcome measurements were the kinematic gait parameters (flexion at heel strike, maximum flexion during loading response, flexion range during loading, minimal flexion at terminal stance, maximal flexion at the swing, and total flexion during the gait cycle), Knee Society Score (KSS), knee flexion, knee extension, and walking speed. Statistical software Review Manager 5.4 and Stata 14.0 were used for data analysis.
resultsThere were finally 9 studies included in this meta-analysis. The results did not reveal differences between posterior cruciate retention (CR) and posterior cruciate substitution (PS) groups in TKA, in terms of kinematic gait parameters, knee extension, walking speed, and KSS. However, the PS group had a significantly larger knee flexion angle than that in the CR group [weighted mean difference = - 3.20, 95% CI - 6.13 to - 0.28, P = 0.03].
conclusionBoth the posterior cruciate retention and posterior cruciate substitution lead to obvious improvements in patient function and have their advantages in getting a good cup position. The PS design is significantly better on the knee flexion, while there are no statistical differences in kinematic gait parameters and outcome scores between them. This might indicate that surgeons do not necessarily need a PS design to substitute the posterior cruciate ligament during TKA.
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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.