Higher patellofemoral compressive force does not affect anterior knee pain in anatomical bi-cruciate retaining total knee arthroplasty: In vivo prospective analysis of guided motion prosthesis

Toyoda, Shinya; Kaneko, Takao; Igarashi, Tadashi; Takada, Kazutaka; Yoshizawa, Shu

doi:10.1016/j.clinbiomech.2021.105444

Cited by 3 publications

(2 citation statements)

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“…What is more, a significant correlation was found between extension joint gap change and the change in ACL elongation in 29 patients, highlighting the importance of precise joint line restoration and soft tissue balancing during BCR-TKA [29]. Although concerns exist regarding an increase in patellofemoral compressive forces after BCR-TKA, no significant correlations between intraoperative patellofemoral compressive force and anterior knee pain after anatomical BCR-TKA have been found in 22 patients at short-term follow-up (1.5 years) [30]. Posterior tibial slope (PTS) may also be an important factor that determines postoperative kinematics and clinical outcome, as one study demonstrated that it has a significant impact on the stress experienced by the ACL during weight-bearing sit-to-stand and single-leg deep lunge.…”

Section: Comparative Studies Of the Vanguard Xpmentioning

confidence: 93%

Bicruciate-Retaining Total Knee Arthroplasty: State of the Art for the Younger and Active Population? A Systematic Review and Future Prospective

2022

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(1) Background: Total knee arthroplasty (TKA) is a well-established surgical treatment for end-stage osteoarthritis. While no leading factor can be identified, the high frequency of patient dissatisfaction (20%) pertains to several key features such as preoperative expectations and postoperative improvement in knee function. Bicruciate-retaining total knee arthroplasty (BCR-TKA) may improve kinematics and lead to improved clinical outcome in the higher-demanding patients. (2) Methods: A systematic review of the literature was performed to assess the best available preclinical and clinical literature on BCR-TKA for kinematics and clinical outcome and adverse events such as implant loosening. Articles were screened using predefined in- and exclusion criteria. The guidelines for Preferred Reporting Items for Systematic Reviews and Meta-analysis (PRISMA) were used. (3) Results: The literature search resulted in 352 articles which were screened for title and abstract. After application of the in- and exclusion criteria, 13 preclinical and 30 clinical articles were included. The methodological quality of studies was low, including mainly level IV studies. (4) Conclusions: This is the first report that provides a systematic description of the broad available preclinical and clinical literature on BCR-TKA. It underlines the current interest in improving kinematics and clinical outcome based on a more anatomical TKA design. The current review demonstrates the low methodological quality of clinical trials that have investigated BCR-TKA. Currently, there are insufficient data to support broad (“state of the art”) implantation of BCR-TKA. Preclinical and clinical research suggest, however, that the design has a potential benefit to achieve improved kinematics in the young and active arthroplasty patient and warrants future research for new-generation designs with optimal (tibial) fixation and reproducible (robot or navigated) surgical placement.

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Section: Comparative Studies Of the Vanguard Xpmentioning

confidence: 93%

Bicruciate-Retaining Total Knee Arthroplasty: State of the Art for the Younger and Active Population? A Systematic Review and Future Prospective

2022

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“…It accounts for about half of all patients with knee osteoarthritis. However, at present, for some patients with medial compartment, whether it is suitable for direct total knee arthroplasty, there are still objections at home and abroad [13][14][15]. For this reason, as early as the late 1960s, some scholars had proposed a surgical treatment for single compartment osteoarthritis of the knee joint, which was called single condylar replacement [16].…”

Section: Introductionmentioning

confidence: 99%

Safety and Efficacy of Single Condylar Knee Prosthesis When Treating Knee Single Compartment Osteoarthritis: A Prospective, Case-Randomized Controlled Study

Wang¹,

Wang

Wang³

2022

Computational Intelligence and Neuroscience

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Objective. The aim of this study is to explore the safety and efficacy of single condylar knee prosthesis when treating knee single compartment osteoarthritis by measuring the decrease of hemoglobin, total postoperative blood loss, maximum reduction of HCT, and knee joint activity. Methods. A total of 80 patients with knee joint single compartment osteoarthritis treated in our hospital from January 2020 to December 2021 were studied. They were randomly assigned to a study group (n = 40) and a control group (n = 40). The study group was treated with total knee prosthesis, while the control group was treated with simple knee prosthesis. The decrease rate of hemoglobin, the amount of bleeding, and the maximum decrease of hematocrit were compared after treatment. The range of motion of knee joint was evaluated by the Fugl-Meyer motor function scale (FM-B) and Berg balance scale (BBS). Results. The decrease of hemoglobin in the study group at 24 hours, 36 hours, and 48 hours after treatment was remarkably lower ( P < 0.05). The total blood loss and the maximum reduction of hematocrit(HCT) in the study group were lower ( P < 0.05). The range of motion (ROM) of the knee joint in the study group at 6 and 12 months after treatment was remarkably higher than that before treatment and remarkably higher compared to the control group ( P < 0.05). The FM-B scale and BBS scale of the studied cohort at 6 and 12 months after treatment were remarkably higher than those before treatment and were remarkably higher compared to the control’s ( P < 0.05). Conclusion. The unicondylar knee prosthesis is safer and more effective in the treatment of noncompartmental osteoarthritis of the knee, facilitating less trauma and perioperative blood loss and enhancing the patient’s motion and balance.

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BCR-Tka

Inui

2024

Advances in Total Knee Arthroplasty

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Higher patellofemoral compressive force does not affect anterior knee pain in anatomical bi-cruciate retaining total knee arthroplasty: In vivo prospective analysis of guided motion prosthesis

Cited by 3 publications

References 50 publications

Bicruciate-Retaining Total Knee Arthroplasty: State of the Art for the Younger and Active Population? A Systematic Review and Future Prospective

Bicruciate-Retaining Total Knee Arthroplasty: State of the Art for the Younger and Active Population? A Systematic Review and Future Prospective

Safety and Efficacy of Single Condylar Knee Prosthesis When Treating Knee Single Compartment Osteoarthritis: A Prospective, Case-Randomized Controlled Study

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