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Patient’s Perception in Bicruciate-Retaining Total Knee Arthroplasty

Volume 3 - Issue 3

Florian Baumann*1 and Himanshu Bhayana2

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    • 1Department of Trauma Surgery, Regensburg University Medical Center, Germany
    • 2Department of Orthopedics’, UCMS and GTB Hospital, India

    *Corresponding author: Florian Baumann, Department of Trauma Surgery, Regensburg University Medical Center, Germany

Received: March 19, 2018;   Published: March 29, 2018

DOI: 10.26717/BJSTR.2018.03.000898

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In treatment of advanced osteoarthritis, total knee arthroplasty (TKA) with the sacrifice of the anterior cruciate ligament (ACL) is the standard treatment. There is high proportion of patients who report residual knee symptoms after TKA without any identifiable objective clinical or radiological reasons. In regards to cruciate-retaining knee arthroplasty in the last decade, knee surgeons have mainly focused on the posterior cruciate ligament [1-4]. However, anatomic studies have shown cruciate ligaments; especially anterior cruciate ligament contains a considerable number of proprioceptive nerve cells. Sacrifice of the ACL can also be accompanied with abnormal kinematics resulting in functional limitations and a reduced balance [3,4]. Reduced balance capacity can cause various problems in activity of daily living (ADL). Balance problems due to limitations in proprioception after TKA can cause frequent falls. Besides this, reduced balance after the arthroplasty can lead to a situation where patient senses the joint as a foreign body which can be associated with non-specific pain and can cause functional deficit [1,4-6]. First generation bicruciateretaining total knee arthroplasty (BCR-TKA) was developed in the 1960s which aimed for a natural knee joint movement. Bicruciateretaining implants have shown a more physiologic anterior femorotibial contact point and a greater posterior translation in motion compared to ACL-sacrificing implants Cloutier et al.[1,3,6-10].

Keywords: Bicruciate-Retaining Total Knee Arthroplasty (BCR-TKA); Outcome; Proprioception; Knee Kinematics

Abbreviations: TKA: Total Knee Arthroplasty; ACL: Anterior Cruciate Ligament; : ADL: Activity Of Daily Living; ROM: Range of Motion; PROM: Patient-Reported Outcome Measurements; FJS: Forgotten Joint Score

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