Skip to main content
Top
Published in: Knee Surgery, Sports Traumatology, Arthroscopy 12/2011

01-12-2011 | Knee

Prediction of range of motion 2 years after mobile-bearing total knee arthroplasty: PCL-retaining versus PCL-sacrificing

Authors: Yoshinori Ishii, Hideo Noguchi, Mitsuhiro Takeda, Junko Sato, Shin-ichi Toyabe

Published in: Knee Surgery, Sports Traumatology, Arthroscopy | Issue 12/2011

Login to get access

Abstract

Purpose

This study evaluated the changes in the range of motion (ROM) with time postoperatively.

Method

The pre- and intraoperative ROM was compared with the ROM 3, 6, 12, and 24 months postoperatively to clarify the effects of posterior cruciate ligament–retaining (PCLR) and posterior cruciate ligament–sacrificing (PCLS) prostheses on the ROM. The changes in the ROM in PCLR (n = 57) and PCLS (n = 51) mobile-bearing total knee arthroplasties for osteoarthritis patients for whom complete data were available were examined.

Results

No significant difference was seen between the two prostheses at any time point. Nevertheless, the ROM 24 months after PCLR and PCLS prostheses could be predicted statistically from the ROM after 6 and 3 months, respectively.

Conclusion

This study showed the effects of retention of the PCL and the degree of its functional recovery on postoperative ROM for the two prostheses.

Level of Evidence

Systematic review, Level II.
Literature
1.
go back to reference Arima J, Whiteside LA, Martin JW, Miura H, White SE, McCarthy DS (1998) Effect of partial release of the posterior cruciate ligament in total knee arthroplasty. Clin Orthop Relat Res 353:194–202PubMedCrossRef Arima J, Whiteside LA, Martin JW, Miura H, White SE, McCarthy DS (1998) Effect of partial release of the posterior cruciate ligament in total knee arthroplasty. Clin Orthop Relat Res 353:194–202PubMedCrossRef
2.
go back to reference Bellemans J, Banks S, Victor J, Vandenneucker H, Moemans A (2002) Fluoroscopic analysis of the kinematics of deep flexion in total knee arthroplasty: influence of posterior condylar offset. J Bone Joint Surg Br 84:50–53PubMedCrossRef Bellemans J, Banks S, Victor J, Vandenneucker H, Moemans A (2002) Fluoroscopic analysis of the kinematics of deep flexion in total knee arthroplasty: influence of posterior condylar offset. J Bone Joint Surg Br 84:50–53PubMedCrossRef
3.
go back to reference Buechel FF Sr (2002) Long-term follow-up after mobile-bearing total knee replacement. Clin Orthop Relat Res 404:40–50PubMedCrossRef Buechel FF Sr (2002) Long-term follow-up after mobile-bearing total knee replacement. Clin Orthop Relat Res 404:40–50PubMedCrossRef
4.
go back to reference Chaudhary R, Beaupré LA, Johnston DWC (2003) Knee range of motion during the first two years after use of posterior cruciate-stabilizing or posterior cruciate-retaining total knee prostheses—A randomized clinical trial. J Bone Joint Surg Am 90:2579–2586CrossRef Chaudhary R, Beaupré LA, Johnston DWC (2003) Knee range of motion during the first two years after use of posterior cruciate-stabilizing or posterior cruciate-retaining total knee prostheses—A randomized clinical trial. J Bone Joint Surg Am 90:2579–2586CrossRef
5.
go back to reference Dennis DA, Komistek RD, Stiehl JB, Walker SA, Dennis KN (1998) Range of motion after total knee arthroplasty: the effect of implant design and weight-bearing conditions. J Arthroplasty 13:748–752PubMedCrossRef Dennis DA, Komistek RD, Stiehl JB, Walker SA, Dennis KN (1998) Range of motion after total knee arthroplasty: the effect of implant design and weight-bearing conditions. J Arthroplasty 13:748–752PubMedCrossRef
6.
go back to reference Figgie HE, Goldberg VM, Heiple KG, Moller HS, Gordon NH (1986) The influence of tibial-patellofemoral location on function of the knee in patients with the posterior stabilized condylar knee prosthesis. J Bone Joint Surg Am 68:1035–1040PubMed Figgie HE, Goldberg VM, Heiple KG, Moller HS, Gordon NH (1986) The influence of tibial-patellofemoral location on function of the knee in patients with the posterior stabilized condylar knee prosthesis. J Bone Joint Surg Am 68:1035–1040PubMed
7.
go back to reference Gatha NM, Clarke HD, Fuchs R, Scruderi GR, Insall JN (2004) Factors affecting postoperative range of motion after total knee arthroplasty. J Knee Surg 17:196–202PubMed Gatha NM, Clarke HD, Fuchs R, Scruderi GR, Insall JN (2004) Factors affecting postoperative range of motion after total knee arthroplasty. J Knee Surg 17:196–202PubMed
8.
go back to reference Girgis FG, Marshall JL, Al Monejem ARS (1975) The cruciate of the knee joint: anatomical, function and experimental analysis. Clin Orthop Relat Res 106:216–231PubMedCrossRef Girgis FG, Marshall JL, Al Monejem ARS (1975) The cruciate of the knee joint: anatomical, function and experimental analysis. Clin Orthop Relat Res 106:216–231PubMedCrossRef
9.
go back to reference Hagena FW, Hofmann GO, Mittelmeier T, Wasmer G, Bergmann M (1989) The cruciate ligament in knee replacement. Int Orthop 13:13–16PubMedCrossRef Hagena FW, Hofmann GO, Mittelmeier T, Wasmer G, Bergmann M (1989) The cruciate ligament in knee replacement. Int Orthop 13:13–16PubMedCrossRef
10.
go back to reference Insall JN, Easley ME (2001) Surgical techniques and instrumentation in total knee arthroplasty. In: Insall JN, Scott WN (eds) Surgery of the knee, vol 2. Churchill Livingstone, New York, pp 1553–1620 Insall JN, Easley ME (2001) Surgical techniques and instrumentation in total knee arthroplasty. In: Insall JN, Scott WN (eds) Surgery of the knee, vol 2. Churchill Livingstone, New York, pp 1553–1620
11.
go back to reference Insall JN, Hood RW, Flawn LB, Sullivan DJ (1983) The total condylar knee prosthesis in gonarthrosis. A five to nine-year follow-up of the first one hundred consecutive replacements. J Bone Joint Surg Am 65:619–628PubMed Insall JN, Hood RW, Flawn LB, Sullivan DJ (1983) The total condylar knee prosthesis in gonarthrosis. A five to nine-year follow-up of the first one hundred consecutive replacements. J Bone Joint Surg Am 65:619–628PubMed
12.
go back to reference Ishii Y, Matsuda Y, Sakata S, Onda N, Omori G (2005) Primary total knee arthroplasty using the Genesis I total knee prosthesis: a 5- to 10-year follow-up study. Knee 12:341–345PubMedCrossRef Ishii Y, Matsuda Y, Sakata S, Onda N, Omori G (2005) Primary total knee arthroplasty using the Genesis I total knee prosthesis: a 5- to 10-year follow-up study. Knee 12:341–345PubMedCrossRef
13.
go back to reference Ishii Y, Noguchi H, Matsuda Y, Takeda M, Kiga H, Toyabe SI (2008) Range of motion during the perioperative period in total knee arthroplasty. Arch Orthop Trauma Surg 128:795–799PubMedCrossRef Ishii Y, Noguchi H, Matsuda Y, Takeda M, Kiga H, Toyabe SI (2008) Range of motion during the perioperative period in total knee arthroplasty. Arch Orthop Trauma Surg 128:795–799PubMedCrossRef
14.
go back to reference Kawamura H, Bourne RB (2001) Factors affecting range of flexion after total knee arthroplasty. J Orthop Sci 6:248–252PubMedCrossRef Kawamura H, Bourne RB (2001) Factors affecting range of flexion after total knee arthroplasty. J Orthop Sci 6:248–252PubMedCrossRef
15.
go back to reference Kim YH, Choi Y, Kwon OR, Kim JS (2009) Functional outcome and range of motion of high-flexion posterior cruciate-retaining and high-flexion posterior cruciate-substituting total knee prostheses—a prospective, randomized study. J Bone Joint Surg Am 91:753–760PubMedCrossRef Kim YH, Choi Y, Kwon OR, Kim JS (2009) Functional outcome and range of motion of high-flexion posterior cruciate-retaining and high-flexion posterior cruciate-substituting total knee prostheses—a prospective, randomized study. J Bone Joint Surg Am 91:753–760PubMedCrossRef
16.
go back to reference Kim YH, Sohn KS, Kim JS (2005) Range of motion of standard and high-flexion posterior stabilized total knee prostheses. J Bone Joint Surg Am 87:1470–1475PubMedCrossRef Kim YH, Sohn KS, Kim JS (2005) Range of motion of standard and high-flexion posterior stabilized total knee prostheses. J Bone Joint Surg Am 87:1470–1475PubMedCrossRef
17.
go back to reference Kotani A, Yonekura A, Bourne RB (2005) Factors influencing range of motion after contemporary total knee arthroplasty. J Arthroplasty 20:850–856PubMedCrossRef Kotani A, Yonekura A, Bourne RB (2005) Factors influencing range of motion after contemporary total knee arthroplasty. J Arthroplasty 20:850–856PubMedCrossRef
18.
go back to reference Kumar PJ, McPherson EJ, Dorr LD, Wan Z, Baldwin K (1996) Rehabilitation after total knee arthroplasty. A comparison of two rehabilitation techniques. Clin Orthop Relat Res 331:93–101PubMedCrossRef Kumar PJ, McPherson EJ, Dorr LD, Wan Z, Baldwin K (1996) Rehabilitation after total knee arthroplasty. A comparison of two rehabilitation techniques. Clin Orthop Relat Res 331:93–101PubMedCrossRef
19.
go back to reference Lee DC, Kim DH, Scott RD, Suthers K (1998) Intraoperative flexion against gravity as an indication of ultimate range of motion in individual cases after total knee arthroplasty. J Arthroplasty 13:500–503PubMedCrossRef Lee DC, Kim DH, Scott RD, Suthers K (1998) Intraoperative flexion against gravity as an indication of ultimate range of motion in individual cases after total knee arthroplasty. J Arthroplasty 13:500–503PubMedCrossRef
20.
go back to reference Maloney WJ, Schurman DJ (1992) The effect of implant design on range of motion after total knee arthroplasty. Total condylar versus posterior stabilized total condylar designs. Clin Orthop Relat Res 278:147–152PubMed Maloney WJ, Schurman DJ (1992) The effect of implant design on range of motion after total knee arthroplasty. Total condylar versus posterior stabilized total condylar designs. Clin Orthop Relat Res 278:147–152PubMed
21.
go back to reference Matsuda Y, Ishii Y, Noguchi H, Ishii R, Kiga H (2005) Varus-valgus balance affects the range of motion after total knee arthroplasty. J Bone Joint Surg Br 87:804–808PubMedCrossRef Matsuda Y, Ishii Y, Noguchi H, Ishii R, Kiga H (2005) Varus-valgus balance affects the range of motion after total knee arthroplasty. J Bone Joint Surg Br 87:804–808PubMedCrossRef
22.
go back to reference Mauerhan DR, Mokris JG, Ly A, Kiebzak GM (1998) Relationship between length of stay and manipulation rate after total knee arthroplasty. J Arthroplasty 13:896–900PubMedCrossRef Mauerhan DR, Mokris JG, Ly A, Kiebzak GM (1998) Relationship between length of stay and manipulation rate after total knee arthroplasty. J Arthroplasty 13:896–900PubMedCrossRef
23.
go back to reference Parsley BS, Engh GA, Dwyer KA (1992) Preoperative flexion. Does it influence postoperative flexion after posterior-cruciate-retaining total knee arthroplasty? Clin Orthop Relat Res 275:204–210PubMed Parsley BS, Engh GA, Dwyer KA (1992) Preoperative flexion. Does it influence postoperative flexion after posterior-cruciate-retaining total knee arthroplasty? Clin Orthop Relat Res 275:204–210PubMed
24.
go back to reference Ranawat CS, Ranawat AS, Mehta A (2003) Total knee arthroplasty rehabilitation protocol. What makes the difference? J Arthroplasty 18(Suppl 1):27–30PubMedCrossRef Ranawat CS, Ranawat AS, Mehta A (2003) Total knee arthroplasty rehabilitation protocol. What makes the difference? J Arthroplasty 18(Suppl 1):27–30PubMedCrossRef
25.
go back to reference Ritter MA, Campbell ED (1987) Effect of range of motion on the success of total knee arthroplasty. J Arthroplasty 2:95–97PubMedCrossRef Ritter MA, Campbell ED (1987) Effect of range of motion on the success of total knee arthroplasty. J Arthroplasty 2:95–97PubMedCrossRef
26.
go back to reference Ritter MA, Harty LD, Davis KE, Meding JB, Berend ME (2003) Predicting range of motion after total knee arthroplasty. J Bone Joint Surg Am 85:1278–1285PubMed Ritter MA, Harty LD, Davis KE, Meding JB, Berend ME (2003) Predicting range of motion after total knee arthroplasty. J Bone Joint Surg Am 85:1278–1285PubMed
27.
go back to reference Schurman DJ, Parker JN, Orstein D (1985) Total condylar knee replacement. A study of factors influencing range of motion as late as two years after arthroplasty. J Bone Joint Surg Am 67:1006–1014PubMed Schurman DJ, Parker JN, Orstein D (1985) Total condylar knee replacement. A study of factors influencing range of motion as late as two years after arthroplasty. J Bone Joint Surg Am 67:1006–1014PubMed
28.
go back to reference Schurman DJ, Rojer DE (2005) Total knee arthroplasty—range of motion. Clin Orthop Relat Res 430:132–137PubMedCrossRef Schurman DJ, Rojer DE (2005) Total knee arthroplasty—range of motion. Clin Orthop Relat Res 430:132–137PubMedCrossRef
29.
go back to reference Seon JK, Song EK, Lee JY (2005) Comparison of range of motion of high-flexion prosthesis and mobile-bearing prosthesis in total knee arthroplasty. Orthopaedics 28(Suppl):1247–1250 Seon JK, Song EK, Lee JY (2005) Comparison of range of motion of high-flexion prosthesis and mobile-bearing prosthesis in total knee arthroplasty. Orthopaedics 28(Suppl):1247–1250
30.
go back to reference Stiehl JB, Voorhorst PE, Keblish P, Sorrells RB (1997) Comparison of range of motion after posterior cruciate ligament retention or sacrifice with a mobile bearing total knee arthroplasty. Am J Knee Surg 10:216–220PubMed Stiehl JB, Voorhorst PE, Keblish P, Sorrells RB (1997) Comparison of range of motion after posterior cruciate ligament retention or sacrifice with a mobile bearing total knee arthroplasty. Am J Knee Surg 10:216–220PubMed
Metadata
Title
Prediction of range of motion 2 years after mobile-bearing total knee arthroplasty: PCL-retaining versus PCL-sacrificing
Authors
Yoshinori Ishii
Hideo Noguchi
Mitsuhiro Takeda
Junko Sato
Shin-ichi Toyabe
Publication date
01-12-2011
Publisher
Springer-Verlag
Published in
Knee Surgery, Sports Traumatology, Arthroscopy / Issue 12/2011
Print ISSN: 0942-2056
Electronic ISSN: 1433-7347
DOI
https://doi.org/10.1007/s00167-011-1395-2

Other articles of this Issue 12/2011

Knee Surgery, Sports Traumatology, Arthroscopy 12/2011 Go to the issue