Reduced joint-awareness in bicruciate-retaining total knee arthroplasty compared to cruciate-sacrificing total knee arthroplasty

被引：25

作者：

Baumann, Florian ^{[1
]}

Krutsch, Werner ^{[1
]}

Worlicek, Michael ^{[1
]}

Kerschbaum, Maximilian ^{[1
]}

Zellner, Johannes ^{[1
]}

Schmitz, Paul ^{[1
]}

Nerlich, Michael ^{[1
]}

Tibesku, Carsten ^{[2
]}

机构：

[1] Regensburg Univ, Med Ctr, Dept Trauma Surg, D-93042 Regensburg, Germany

[2] KniePraxis Prof Dr Tibesku, Straubing, Germany

来源：

ARCHIVES OF ORTHOPAEDIC AND TRAUMA SURGERY | 2018年 / 138卷 / 02期

关键词：

Unicompartmental knee arthroplasty (UKA); Bicruciate-retaining total knee arthroplasty (BCR-TKA); Outcome; Patient Reported Outcome Measurement (PROM); Forgotten Joint Score (F[!text type='JS']JS[!/text]); BICONDYLAR SLEDGE PROSTHESES; IN-VIVO KINEMATICS; QUALITY-OF-LIFE; FORGOTTEN JOINT; FOLLOW-UP; REPLACEMENT; VALIDATION; LIGAMENTS; RETENTION; BEARING;

D O I：

10.1007/s00402-017-2839-z

中图分类号：

R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];

学科分类号：

摘要：

Purpose There is rising impact of patient-reported outcome (PRO) measurement in joint arthroplasty over the past years. Bicruciate-retaining implants have shown more physiologic knee kinematics and provide superior proprioceptive capacities. The aim of this study was to evaluate if the functional properties of this new implant design lead to improved PRO results after total knee arthroplasty (TKA). Methods This prospective, controlled trial compares PRO of bicruciate-retaining total knee arthroplasty (BCR-TKA) to unicondylar knee arthroplasty (UKA) and standard posterior-stabilized total knee arthroplasty (PS-TKA). We evaluated 102 patients (34 patients in each group) 18 months postoperatively after knee arthroplasty. Primary outcome measure was the Forgotten Joint Score (FJS). Results The BCR-group showed the same level of joint awareness as the UKA-group (p = 0.999). The second control group of PS-TKA patients had a lower mean score value in the FJS compared to the BCR-group (p = 0.035) and UKA-group (p = 0.031). There was no correlation of age, gender, body mass index (BMI) and the FJS. No relevant floor-or ceiling effects occurred. Conclusions This study found reduced joint awareness for BCR-TKA compared to a standard total knee arthroplasty. The score values of the BCR-group were equal to the UKA-group. Further prospective, randomized studies to investigate long-term survivorship of bicruciate-retaining implants are needed.

引用

页码：273 / 279

页数：7

共 45 条

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