ArticleArthroplasty today2023
Modern Total Knee Arthroplasty Bearing Designs and the Role of the Posterior Cruciate Ligament.
Article in Arthroplasty today, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.
What it found
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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.
The trial behind it
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
20 citing papers in PubMed.
- Long-term outcomes of single-radius total knee arthroplasty in an Asian population: a comparison of cruciate-retaining and posterior-stabilized designs.Knee surgery & related research · 2026Article
- Effect of preservation versus sacrifice of the posterior cruciate ligament on clinical outcomes after medial congruent total knee arthroplasty using mechanical alignment: A systematic review and meta-analysis.Journal of experimental orthopaedics · 2026Review
- The three-pillar concept for functional knee positioning in robotic total knee arthroplasty.Journal of experimental orthopaedics · 2026Review
- Is it time for a systematic and objective assessment of knee laxity? The impact of objective knee laxity after TKA on patient-reported outcomes: a comprehensive review.Archives of orthopaedic and trauma surgery · 2026Review
- Proximal Tibial Resection Alone Leads to a Significant Increase in Flexion Gap Size in Tibia-First Robotic-Assisted Posterior-Stabilized Total Knee Arthroplasty.Clinics in orthopedic surgery · 2026Observational
- Comparison of Routine Posterior Cruciate Ligament Resection vs Selective PCL Balancing Using a Medial Congruent Polyethylene in Total Knee Arthroplasty: A Matched-Cohort Analysis.Arthroplasty today · 2026Article
- Surgeon decision-making and implant selection in primary total knee arthroplasty: association of training, experience, and robotic-assisted surgical innovation with implant selection.Frontiers in medicine · 2026Article
- Effect of tibial tray backside design on stress transfer and micromotion in uncemented posterior-stabilized TKA: A finite element study.Journal of experimental orthopaedics · 2026Article
- [Numerical analysis research on the impact of tibial tray fixation peg structure on initial fixation stability in total knee arthroplasty].Sheng wu yi xue gong cheng xue za zhi = Journal of biomedical engineering = Shengwu yixue gongchengxue zazhi · 2025Article
- No clinically meaningful differences between PCL preservation and sacrifice in medial pivot total knee arthroplasty: A systematic review and meta-analysis.Journal of experimental orthopaedics · 2025Review
- Comparable outcomes with a potential functional advantage of PCL preservation in medial-stabilized total knee arthroplasty: A systematic review and meta-analysis from the FP-UCBM Knee Study Group.Journal of experimental orthopaedics · 2025Review
- Medial congruent with posterior cruciate ligament resected achieves similar short term outcome as posterior stabilised total knee arthroplasty.Musculoskeletal surgery · 2025Article
- In Vivo Kinematics for Various Robotically Performed Total Knee Arthroplasty Implant Designs.Journal of orthopaedic research : official publication of the Orthopaedic Research Society · 2025Article
- A Comparison of Medial-congruent, Ultracongruent, and Cruciate-retaining Bearings Using a Single Cruciate-retaining Total Knee Design.Arthroplasty today · 2025Article
- Constraint of Different Knee Implant Designs Under Anterior-Posterior Shear Forces and Internal-External Rotation Moments in Human Cadaveric Knees.Bioengineering (Basel, Switzerland) · 2025Article
- Comparison of Clinical and Patient Reported Outcomes in One-Sided Cruciate-Retaining Versus Other-Sided Posterior Stabilizing Protheses in Bilateral Simultaneous Total Knee Arthroplasty.Indian journal of orthopaedics · 2025Article
- Article
- The Restoration of the Prearthritic Joint Line Does Not Guarantee the Natural Knee Kinematics: A Gait Analysis Evaluation Following Primary Total Knee Arthroplasty.Arthroplasty today · 2024Article
- Progress in Computer-Assisted Navigation for Total Knee Arthroplasty in Treating Knee Osteoarthritis with Extra-Articular Deformity.Orthopaedic surgery · 2024Review
- Does Proprioception-Based Rehabilitation Enhance Functional Outcome in Total Knee Arthroplasty? A Prospective Randomised Study.Indian journal of orthopaedics · 2024Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
The role of the posterior cruciate ligament (PCL) in total knee arthroplasty (TKA) surgery continues to be a source of debate among the adult reconstruction community. In native knee flexion, the PCL is comprised of an anterolateral and posteromedial bundle that work together to limit posterior tibial translation and allow adequate femoral rollback for deep flexion. In the arthritic knee, the PCL can often become dysfunctional and attenuated, which led to the development of posterior stabilized (PS) TKA bearing options. PS TKAs implement a cam-post construct to functionally replace a resected PCL. While PS designs may facilitate balancing knees with significant deformity, they are associated with complications such as postfracture, increased wear, and patellar clunk/crepitus. In recent years, newer designs have been popularized with greater degrees of congruency and incorporation of medial and lateral pivoting to better recreate native knee kinematics. The American Joint Registry has confirmed the recent predilection for ultra-congruent and cruciate-retaining TKA inserts over PS TKAs during the last decade. Studies have failed to identify an overall clinical superiority between the cruciate substituting and sacrificing designs. The literature has also failed to identify clinical consequences from PCL resection with modern, more conforming TKA designs. In this article, we review modern PCL sacrificing designs and discuss the impact of each on the kinematics after TKA. We also will delineate the role of the PCL in modern TKA in the hopes to better understand the recent surge in sacrificing but not substituting knee implants.
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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.