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Knee Surgery, Sports Traumatology, Arthroscopy
Published in: Knee Surgery, Sports Traumatology, Arthroscopy 12/2013

01-12-2013 | Knee

Preservation of the posterior cruciate ligament is not helpful in highly conforming mobile-bearing total knee arthroplasty: a randomized controlled study

Authors: Yoon Whan Roh, Jak Jang, Won Chul Choi, Joon Kyu Lee, Sae Hyung Chun, Sahnghoon Lee, Sang Cheol Seong, Myung Chul Lee

Published in: Knee Surgery, Sports Traumatology, Arthroscopy | Issue 12/2013

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Abstract

Purpose

The purpose of this study is to investigate whether the preservation of the posterior cruciate ligament (PCL) can be helpful for improving kinematics and clinical outcome in highly conforming mobile-bearing total knee arthroplasty (TKA).

Methods

Ninety osteoarthritic knees were randomly allocated to either the PCL-preserving group or the PCL-sacrificing group. Passive kinematics was recorded with a navigation system immediately after implantation. Three parameters (anterior/posterior translation, varus/valgus rotation, and internal/external rotation) were analysed from 0° to 120° flexion.

Results

The PCL-preserving group (42 knees) had more varus rotation over 90° flexion (p < 0.05) and more anterior translation of the femur in all ranges of flexion (p < 0.05) than those in the PCL-sacrificing group (44 knees). There was no difference in the internal/external rotation (p > 0.05). The range of motion, functional scores, and radiographic results did not significantly differ between the two groups at the final follow-up. Three knees in the PCL-preserving group were revised: two presented with instability caused by traumatic attenuation of the PCL and one with subluxation of the insert due to a tight PCL.

Conclusion

The preservation of the PCL was not helpful for improving kinematics and clinical outcome in highly conforming mobile-bearing TKA.

Level of evidence

II.
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Metadata
Title
Preservation of the posterior cruciate ligament is not helpful in highly conforming mobile-bearing total knee arthroplasty: a randomized controlled study
Authors
Yoon Whan Roh
Jak Jang
Won Chul Choi
Joon Kyu Lee
Sae Hyung Chun
Sahnghoon Lee
Sang Cheol Seong
Myung Chul Lee
Publication date
01-12-2013
Publisher
Springer Berlin Heidelberg
Published in
Knee Surgery, Sports Traumatology, Arthroscopy / Issue 12/2013
Print ISSN: 0942-2056
Electronic ISSN: 1433-7347
DOI
https://doi.org/10.1007/s00167-012-2265-2

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