scholarly journals A comparative study of functional outcome of posterior cruciate retaining versus posterior cruciate sacrificing in primary total knee arthroplasty

2019 ◽  
Vol 5 (2.2) ◽  
pp. 155-163
Author(s):  
Dr. Nadar Raja Chidambaram ◽  
Dr. Mohd Ismail Irfan
Author(s):  
Sunil Kumar Dash ◽  
Sanket Mishra ◽  
Sumanyu Tripathy ◽  
Manish Sharma ◽  
Aurobinda Das

<p class="abstract"><strong>Background:</strong> Total knee replacement arthroplasty today has become the final treatment option for patients with unsalvageable, severely arthritic, painful and deformed knees. In India the numbers of such surgeries are steadily on the rise with bulk of the patients being relatively younger group. Amongst several factors affecting the kinematics of knee, variations in surface geometry and the retention or sacrificing the posterior cruciate ligament is considered especially important. The role of the retaining a PCL on the demographic, clinical and functional parameters of a patient undergoing TKA remains controversial. The aim of the study was to evaluate the outcomes of cruciate retaining primary total knee arthroplasty in patients of osteoarthritis in relation to demographic, clinical and functional parameters.</p><p class="abstract"><strong>Methods:</strong> 20 knees from 12 patients of osteoarthritis including 8 females and 4 males in age group 45-80 years were operated with cruciate retaining implants. The pre and postoperative evaluations were done radiologicaly and clinically using new knee society score. Patients were followed up for minimum 1 year.<strong></strong></p><p class="abstract"><strong>Results:</strong> evaluations of patients revealed good postoperative improvements at subsequent follow up in comparison to preoperative scores. The average range of movement improved by 43.3 degree. The objective, patients satisfaction and functional score improved with scores of 89, 34 and 89.7 at 1 year follow up. The walking distance and staircase climbing, squatting scores also did well. Age did not seem to affect overall outcomes with males having slightly better postoperative scoring overall.</p><p class="abstract"><strong>Conclusions:</strong> In Indian population when the patient is young, high demanding, the retention of cruciate ligaments gives excellent postoperative functionality and objectivity and should be always considered as first choice surgery.</p>


2020 ◽  
Vol 6 (3) ◽  
pp. 496-501
Author(s):  
Teron A. Nezwek ◽  
Alexander C. Rothy ◽  
Ryan M. Chapman ◽  
Douglas W. Van Citters ◽  
Karl Koenig

2019 ◽  
Vol 43 (11) ◽  
pp. 2503-2509 ◽  
Author(s):  
Petr Mikhailovich Preobrazhensky ◽  
Svetlana Anatolievna Bozhkova ◽  
Alexander Viktorovich Kazemirsky ◽  
Rashid Murtazalievich Tikhilov ◽  
Taras Andreevich Kulaba ◽  
...  

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Babaji Thorat ◽  
Avtar Singh ◽  
Rajeev Vohra ◽  
Dharmesh Patel ◽  
Sheikh Khalid Nisar

Introduction: Intraoperative fracture in revision knee arthroplasty is commonly described. Intraoperative fracture during primary total knee arthroplasty (TKA) is a significant yet infrequently reported complication. The literature about intraoperative fractures during primary TKA is limited. It is usually seen in posterior-stabilized prosthesis during primary TKA, however, its occurrence in cruciate-retaining (CR) primary TKA is rarely reported. Case Report: The authors describe a unique case of intraoperative medial femoral condyle fracture in primary CR TKA during bone preparation. The fracture was managed successfully by fixation with a 3.5 mm screw followed by cemented primary CRTKA. Bony union was achieved with a good clinical outcome as shown by the Knee Society Knee Score of 86 and a Function Score of 90 without any signs of prosthesis failure/loosening at 2 years’ follow-up. Discussion: Careful pre-operative evaluation and planning are necessary for patients with risk factors to avoid poor outcome. A stable internal fixation abiding the standard principles of fracture fixation and arthroplasty is needed to achieve a satisfactory functional and radiographic outcome, thus avoids early prosthetic failure Keywords: Intraoperative fracture, complication, distal femur, medial condyle, primary total knee arthroplasty, cruciate retaining.


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