Avulsion Fracture of Bicruciate Ligament and Patellar Tendon in Bicruciate-Retaining Total Knee Arthroplasty

Lau, Lawrence Chun-Man; Ong, Michael Tim‐Yun; Chau, Wai‐Wang; Ng, Jonathan Patrick; Griffith, James F.; Ho, Kwok W.

doi:10.1016/j.artd.2022.04.013

Cited by 4 publications

(7 citation statements)

References 16 publications

(22 reference statements)

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“…With the ever-growing number of TKA being performed, this further implies a likely increase on the number of follow-up cases and patients living with TKA. Despite the advancement of surgical techniques (e.g., use of robot and navigation), some centers have begun to offer lifelong follow-ups for these patients in considering the likelihood on the occurrence of common complications, such as loosening, fracture and wearing, to appear after many years of TKA [ 3 , [13] , [14] , [15] , [16] , [31] ]. This post TKA follow-ups have significant burden to the healthcare systems given the late occurrence of loosening and cumulative increase on the number of patients living with TKA.…”

Section: Discussionmentioning

confidence: 99%

A novel image-based machine learning model with superior accuracy and predictability for knee arthroplasty loosening detection and clinical decision making

Lau

Chui

Man

et al. 2022

Journal of Orthopaedic Translation

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Section: Discussionmentioning

confidence: 99%

A novel image-based machine learning model with superior accuracy and predictability for knee arthroplasty loosening detection and clinical decision making

Lau

Chui

Man

et al. 2022

Journal of Orthopaedic Translation

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“…Chu-Man Lau et al remarks that these recommendations do not consider quadriceps weakness, possibly due to generalized sarcopenia, as a mitigating factor for BCR TKA. Quadriceps muscle weakness may have an important contribution to complications after BCR TKA such as periprosthetic fractures 16 .…”

Section: Methodsmentioning

confidence: 99%

“…It extended posteriorly to include the PCL insertional area and anteroinferiorly with concomitant partial patellar tendon avulsion. During revision surgery to a conventional PS TKA a complete ACL and PCL avulsion was found 16 .…”

Section: Methodsmentioning

confidence: 99%

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Bicruciate retaining total knee arthroplasty: current state and future promise

COOLS,

LUYCKX,

VICTOR

et al. 2023

Acta Orthop Belg

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Total knee arthroplasty (TKA) is a well-known surgical procedure performed to address end stage osteoarthritis. The main goal is to relieve pain, recover articular function and return to normal function as soon as possible. Over the years it is frequently performed in the elderly, but lately there is an increased demand in a younger and more active population. Up to 25% of patients feel dissatisfied about their TKA. The anterior cruciate ligament (ACL) is considered the main anteroposterior stabilizer of the knee; nevertheless the ACL is usually sacrificed during conventional TKA. Research shows this might be an unnecessary sacrifice in certain cases. The considerable dissatisfaction rate in mainly high-demanding patients, together with the literature reports on the importance of the ACL function, were the two main reasons for the development of bicruciate retaining (BCR) total knee arthroplasty. BCR TKA may offer superior knee kinematics and proprioception, through anterior cruciate ligament preservation, but requires a higher level of attention to obtain an accurate and precise component orientation to reach proper ligamentous balancing and restore the native knee biomechanics. Many surgeons abandoned its use due to its challenging technique and inconsistent results. Recent new BCR implant designs are promising. This systematic literature review aims to summarize the current state of BCR TKA and what to expect in the future.

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“…One of the surgical procedures essential to the success of BCR TKA is preservation of the tibial eminence, which serves as the attachment site for the ACL and PCL. Intraoperative and postoperative avulsion fractures of the tibial eminence, including the ACL and PCL footprints, are often reported as a complication of BCR TKA [4,5]. On the other hand, the tibial eminence, which is well-preserved during the operation and rst few postoperative months, has been thought to have a long-term important role as the attachment site for the ACL and PCL.…”

Section: Introductionmentioning

confidence: 99%

Chronological change of tibial eminence after bi-cruciate retaining total knee arthroplasty

Inui,

Yamagami,

Kono

et al. 2023

Preprint

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Background Bicruciate-retaining (BCR) prostheses have been introduced to recreate normal knee movements by preserving both the anterior and posterior cruciate ligament. One of the surgical procedures essential to the success of BCR total knee arthroplasty (TKA) is preservation of the tibial eminence. However, in our clinical experience, we found that a well-preserved tibial eminence changed its shape chronologically after the operation. This study aimed to investigate the frequency of chronological changes in the tibial eminence after BCR TKA and its influence on the outcomes. Methods This study included 59 patients with BCR TKA. Radiographs taken at 2 weeks postoperatively and at an average follow-up of 3.2 years were used to assess the tibial eminence. The patients’ demographics, joint component gaps, and clinical scores were compared between the groups with chronological change (P group) and without change (N group). Results The chronological change of the tibial eminence was found in 22 cases (37%). The joint component gaps at extension were larger in P group than in N group. The scores in the symptoms and ADL subscales of the KOOS were significantly higher at 1 year postoperatively in N group than in P group. There were no significant differences between the two groups at the final follow-up. Conclusions Chronological changes in the well-preserved tibial eminence were found in approximately one third of the BCR TKA patients. The mean scores at 1-year postoperatively were lower in the patients with chronological changes in the tibial eminence than in the patients without changes.

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Avulsion Fracture of Bicruciate Ligament and Patellar Tendon in Bicruciate-Retaining Total Knee Arthroplasty

Cited by 4 publications

References 16 publications

A novel image-based machine learning model with superior accuracy and predictability for knee arthroplasty loosening detection and clinical decision making

A novel image-based machine learning model with superior accuracy and predictability for knee arthroplasty loosening detection and clinical decision making

Bicruciate retaining total knee arthroplasty: current state and future promise

Chronological change of tibial eminence after bi-cruciate retaining total knee arthroplasty

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