Bicruciate Total Knee Arthroplasty

Parcells, Bertrand W.; Preston, Jared S.; Tria, Alfred J.

doi:10.1007/978-3-319-15206-6_64-1

Cited by 2 publications

(4 citation statements)

References 66 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The anterior cruciate ligament (ACL) and the posterior cruciate ligament (PCL) comprise 2 of the 4 primary ligamentous stabilizers that dictate the dynamic constraint of the native tibiofemoral joint. In extension and early flexion, the ACL causes external rotation of the tibia [1] and resists anterior translation of the tibia [2]. Previous studies have documented that the ACL is most active from full extension to 30 of knee flexion [3e5].…”

mentioning

confidence: 99%

“…Realizing the biomechanical contributions of both cruciate ligaments, bicruciate retaining (BCR) TKA designs were introduced in the mid-1960s [11e13]. Despite the theoretical efficacy of the BCR concept, some of the early designs were plagued with unacceptable failure rates caused by instability, component loosening, infection, and extensor mechanism pain [2,14]. Furthermore, acceptance among surgeons was not as expected as many regarded the BCR technically demanding and of limited clinical value [14].…”

mentioning

confidence: 99%

“…The complicated procedures associated with cruciate preservation opened a door for TKAs which simplified implantation via cruciate resection [2]. Today, both posterior cruciate-retaining (PCR) and posterior stabilized (PS) TKA designs are heavily used in the operating room and exhibit excellent long-term survivorship with acceptable patient outcomes [15].…”

mentioning

confidence: 99%

See 2 more Smart Citations

In Vivo Kinematic Comparison of a Bicruciate Stabilized Total Knee Arthroplasty and the Normal Knee Using Fluoroscopy

Grieco

Sharma

Dessinger

et al. 2018

The Journal of Arthroplasty

View full text Add to dashboard Cite

Similarities in early flexion kinematics suggest that the anterior cam-post is supporting normal-like anterior-posterior motion in the BCS subjects. Likewise, lateral femoral rollback and external rotation of the femur in later flexion provides evidence for appropriate substitution of the PCL via the posterior cam-post. Being discrete in nature, the dual cam-post mechanism does not lend itself to adequate substitution of the cruciate ligaments in mid-flexion during which anterior cruciate ligament tension is decreasing and PCL tension is increasing in the normal knee.

show abstract

mentioning

confidence: 99%

mentioning

confidence: 99%

See 1 more Smart Citation

In Vivo Kinematic Comparison of a Bicruciate Stabilized Total Knee Arthroplasty and the Normal Knee Using Fluoroscopy

Grieco

Sharma

Dessinger

et al. 2018

The Journal of Arthroplasty

View full text Add to dashboard Cite

show abstract

“…In a prior retrospective study by Lavoie et al comparing PS and BCR prostheses, a similar transitory stiffness was noted for BCR TKAs. As in this present study, a systematic review by Parcells et al showed that mean post‐operative flexion tends to vary between 103° and 120° following BCR across five trials encompassing 805 knees [30]. Thus, post‐operative range of motion is likely not solely associated with the type of prosthesis, but is also dependent on other patient‐associated factors such as pre‐operative flexion.…”

Section: Discussionmentioning

confidence: 51%

Bicruciate-retaining total knee arthroplasty non-inferior to posterior-stabilized prostheses after 5 years: a randomized, controlled trial

Lavoie

Denis

Chergui

et al. 2022

Knee Surg Sports Traumatol Arthrosc

View full text Add to dashboard Cite

Purpose Bicruciate-retaining (BCR) prostheses may improve satisfaction of patient undergoing total knee arthroplasty (TKA). The objective of this randomized controlled trial was to assess whether BCR prostheses provide better clinical outcomes than posterior-stabilized (PS) prostheses. Materials and methods This is a randomized single-blind control trial involving a total of 77 patients with knee osteoarthritis, randomly assigned to undergo TKA with a BCR or PS implant between 2015 and 2019. Mean follow-up period was 39 months. Clinical and demographic data were extracted manually from medical records. Data acquisition included patient demographics, knee range of motion, and patient-reported outcomes via KSS, KOOS, WOMAC, and SF-12 scores. Results A total of 38 patients were randomized to the PS group and 39 to the BCR group. At the 5-year follow-up, no statistical diferences were noted for knee range of motion or patient-reported outcomes between the two groups, except for a greater knee lexion in the early follow-up period in the PS group. Five adverse events occurred in the BCR group compared to none in the PS group (p = 0.02). Conclusion BCR TKA yield similar clinical and patient-reported outcomes 5 years following the intervention compared with PS TKA. The BCR TKA had more complications. Level of evidence I (Randomized Controlled Trial).

show abstract

Bicruciate Total Knee Arthroplasty

Cited by 2 publications

References 66 publications

In Vivo Kinematic Comparison of a Bicruciate Stabilized Total Knee Arthroplasty and the Normal Knee Using Fluoroscopy

In Vivo Kinematic Comparison of a Bicruciate Stabilized Total Knee Arthroplasty and the Normal Knee Using Fluoroscopy

Bicruciate-retaining total knee arthroplasty non-inferior to posterior-stabilized prostheses after 5 years: a randomized, controlled trial

Contact Info

Product

Resources

About