Does cruciate retention primary total knee arthroplasty affect proprioception, strength and clinical outcome?

Purpose It remains unclear what the contribution of the PCL is in total knee arthroplasty (TKA). The goal of this study was to investigate the influence of the PCL in TKA in relationship to clinical outcome, strength and proprioception. Methods Two arthroplasty designs were compared: a posterior cru...

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Veröffentlicht in:	Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA Jg. 23; H. 6; S. 1644 - 1652
Hauptverfasser:	Vandekerckhove, Pieter-Jan T. K., Parys, Roel, Tampere, Thomas, Linden, Patrick, Van den Daelen, Luc, Verdonk, Peter C.
Format:	Journal Article
Sprache:	Englisch
Veröffentlicht:	Berlin/Heidelberg Springer Berlin Heidelberg 01.06.2015 John Wiley & Sons, Inc
Schlagworte:	Aged Aged, 80 and over Arthroplasty, Replacement, Knee - methods Clinical outcomes Female Humans Knee Knee Prosthesis Male Medicine Medicine & Public Health Middle Aged Muscle Strength - physiology Orthopedics Posterior Cruciate Ligament - surgery Proprioception - physiology Range of Motion, Articular - physiology Retrospective Studies Posterior cruciate retaining Total knee arthroplasty Posterior cruciate substituting Proprioception Balance Strength
ISSN:	0942-2056, 1433-7347, 1433-7347
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Abstract	Purpose It remains unclear what the contribution of the PCL is in total knee arthroplasty (TKA). The goal of this study was to investigate the influence of the PCL in TKA in relationship to clinical outcome, strength and proprioception. Methods Two arthroplasty designs were compared: a posterior cruciate-substituting (PS) and a posterior cruciate-retaining (CR) TKA. A retrospective analysis was performed of 27 CR and 18 PS implants with a minimum of 1 year in vivo. Both groups were compared in terms of clinical outcome (range of motion, visual analogue scale for pain, Hospital for Special Surgery Knee Scoring system, Lysholm score and Knee Injury and Osteoarthritis Outcome Score), strength (Biodex System 3 Dynamometer ® ) and proprioception (balance and postural control using the Balance Master system ® ). Each design was also compared to the non-operated contralateral side in terms of strength and proprioception. Results There were no significant differences between both designs in terms of clinical outcome and strength. In terms of proprioception, only the rhythmic weight test at slow and moderate speed shifting from left to right was significant in favour of the CR design. None of the unilateral stance tests showed any significant difference between both designs. There was no difference in terms of strength and proprioception between the operated side and the non-operated side. Conclusion Retaining the PCL in TKA does not result in an improved performance in terms of clinical outcome and proprioception and does not show any difference in muscle strength. Level of evidence III.
AbstractList	Purpose It remains unclear what the contribution of the PCL is in total knee arthroplasty (TKA). The goal of this study was to investigate the influence of the PCL in TKA in relationship to clinical outcome, strength and proprioception. Methods Two arthroplasty designs were compared: a posterior cruciate-substituting (PS) and a posterior cruciate-retaining (CR) TKA. A retrospective analysis was performed of 27 CR and 18 PS implants with a minimum of 1 year in vivo. Both groups were compared in terms of clinical outcome (range of motion, visual analogue scale for pain, Hospital for Special Surgery Knee Scoring system, Lysholm score and Knee Injury and Osteoarthritis Outcome Score), strength (Biodex System 3 Dynamometer ® ) and proprioception (balance and postural control using the Balance Master system ® ). Each design was also compared to the non-operated contralateral side in terms of strength and proprioception. Results There were no significant differences between both designs in terms of clinical outcome and strength. In terms of proprioception, only the rhythmic weight test at slow and moderate speed shifting from left to right was significant in favour of the CR design. None of the unilateral stance tests showed any significant difference between both designs. There was no difference in terms of strength and proprioception between the operated side and the non-operated side. Conclusion Retaining the PCL in TKA does not result in an improved performance in terms of clinical outcome and proprioception and does not show any difference in muscle strength. Level of evidence III. It remains unclear what the contribution of the PCL is in total knee arthroplasty (TKA). The goal of this study was to investigate the influence of the PCL in TKA in relationship to clinical outcome, strength and proprioception.PURPOSEIt remains unclear what the contribution of the PCL is in total knee arthroplasty (TKA). The goal of this study was to investigate the influence of the PCL in TKA in relationship to clinical outcome, strength and proprioception.Two arthroplasty designs were compared: a posterior cruciate-substituting (PS) and a posterior cruciate-retaining (CR) TKA. A retrospective analysis was performed of 27 CR and 18 PS implants with a minimum of 1 year in vivo. Both groups were compared in terms of clinical outcome (range of motion, visual analogue scale for pain, Hospital for Special Surgery Knee Scoring system, Lysholm score and Knee Injury and Osteoarthritis Outcome Score), strength (Biodex System 3 Dynamometer(®)) and proprioception (balance and postural control using the Balance Master system(®)). Each design was also compared to the non-operated contralateral side in terms of strength and proprioception.METHODSTwo arthroplasty designs were compared: a posterior cruciate-substituting (PS) and a posterior cruciate-retaining (CR) TKA. A retrospective analysis was performed of 27 CR and 18 PS implants with a minimum of 1 year in vivo. Both groups were compared in terms of clinical outcome (range of motion, visual analogue scale for pain, Hospital for Special Surgery Knee Scoring system, Lysholm score and Knee Injury and Osteoarthritis Outcome Score), strength (Biodex System 3 Dynamometer(®)) and proprioception (balance and postural control using the Balance Master system(®)). Each design was also compared to the non-operated contralateral side in terms of strength and proprioception.There were no significant differences between both designs in terms of clinical outcome and strength. In terms of proprioception, only the rhythmic weight test at slow and moderate speed shifting from left to right was significant in favour of the CR design. None of the unilateral stance tests showed any significant difference between both designs. There was no difference in terms of strength and proprioception between the operated side and the non-operated side.RESULTSThere were no significant differences between both designs in terms of clinical outcome and strength. In terms of proprioception, only the rhythmic weight test at slow and moderate speed shifting from left to right was significant in favour of the CR design. None of the unilateral stance tests showed any significant difference between both designs. There was no difference in terms of strength and proprioception between the operated side and the non-operated side.Retaining the PCL in TKA does not result in an improved performance in terms of clinical outcome and proprioception and does not show any difference in muscle strength.CONCLUSIONRetaining the PCL in TKA does not result in an improved performance in terms of clinical outcome and proprioception and does not show any difference in muscle strength.III.LEVEL OF EVIDENCEIII. Issue Title: Clinical outcome after total knee arthroplasty It remains unclear what the contribution of the PCL is in total knee arthroplasty (TKA). The goal of this study was to investigate the influence of the PCL in TKA in relationship to clinical outcome, strength and proprioception. Two arthroplasty designs were compared: a posterior cruciate-substituting (PS) and a posterior cruciate-retaining (CR) TKA. A retrospective analysis was performed of 27 CR and 18 PS implants with a minimum of 1 year in vivo. Both groups were compared in terms of clinical outcome (range of motion, visual analogue scale for pain, Hospital for Special Surgery Knee Scoring system, Lysholm score and Knee Injury and Osteoarthritis Outcome Score), strength (Biodex System 3 Dynamometer^sup ^) and proprioception (balance and postural control using the Balance Master system^sup ^). Each design was also compared to the non-operated contralateral side in terms of strength and proprioception. There were no significant differences between both designs in terms of clinical outcome and strength. In terms of proprioception, only the rhythmic weight test at slow and moderate speed shifting from left to right was significant in favour of the CR design. None of the unilateral stance tests showed any significant difference between both designs. There was no difference in terms of strength and proprioception between the operated side and the non-operated side. Retaining the PCL in TKA does not result in an improved performance in terms of clinical outcome and proprioception and does not show any difference in muscle strength. III. It remains unclear what the contribution of the PCL is in total knee arthroplasty (TKA). The goal of this study was to investigate the influence of the PCL in TKA in relationship to clinical outcome, strength and proprioception. Two arthroplasty designs were compared: a posterior cruciate-substituting (PS) and a posterior cruciate-retaining (CR) TKA. A retrospective analysis was performed of 27 CR and 18 PS implants with a minimum of 1 year in vivo. Both groups were compared in terms of clinical outcome (range of motion, visual analogue scale for pain, Hospital for Special Surgery Knee Scoring system, Lysholm score and Knee Injury and Osteoarthritis Outcome Score), strength (Biodex System 3 Dynamometer(®)) and proprioception (balance and postural control using the Balance Master system(®)). Each design was also compared to the non-operated contralateral side in terms of strength and proprioception. There were no significant differences between both designs in terms of clinical outcome and strength. In terms of proprioception, only the rhythmic weight test at slow and moderate speed shifting from left to right was significant in favour of the CR design. None of the unilateral stance tests showed any significant difference between both designs. There was no difference in terms of strength and proprioception between the operated side and the non-operated side. Retaining the PCL in TKA does not result in an improved performance in terms of clinical outcome and proprioception and does not show any difference in muscle strength. III.
Author	Tampere, Thomas Vandekerckhove, Pieter-Jan T. K. Verdonk, Peter C. Parys, Roel Van den Daelen, Luc Linden, Patrick
Author_xml	– sequence: 1 givenname: Pieter-Jan T. K. surname: Vandekerckhove fullname: Vandekerckhove, Pieter-Jan T. K. email: pieterjanvandekerckhove@hotmail.com organization: Department of Physiotherapy and Orthopaedic Surgery, Faculty of Medicine, University Hospital Ghent, Department of Orthopaedic Surgery and Traumatology, AZ Sint-Jan Bruges – sequence: 2 givenname: Roel surname: Parys fullname: Parys, Roel organization: Department of Physical Medicine and Rehabilitation, University Hospital Leuven, Department of Physical Medicine and Rehabilitation, Stedelijk Ziekenhuis Roeselare – sequence: 3 givenname: Thomas surname: Tampere fullname: Tampere, Thomas organization: Department of Physiotherapy and Orthopaedic Surgery, Faculty of Medicine, University Hospital Ghent – sequence: 4 givenname: Patrick surname: Linden fullname: Linden, Patrick organization: Department of Physical Medicine and Rehabilitation, Stedelijk Ziekenhuis Roeselare – sequence: 5 givenname: Luc surname: Van den Daelen fullname: Van den Daelen, Luc organization: Department of Orthopaedic Surgery and Traumatology, Stedelijk Ziekenhuis Roeselare – sequence: 6 givenname: Peter C. surname: Verdonk fullname: Verdonk, Peter C. organization: Department of Physiotherapy and Orthopaedic Surgery, Faculty of Medicine, University Hospital Ghent, Department of Orthopaedic Surgery, Monica Hospitals Antwerp
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Keywords	Posterior cruciate retaining Total knee arthroplasty Posterior cruciate substituting Proprioception Balance Strength
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30;7(6):666-72
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Snippet	Purpose It remains unclear what the contribution of the PCL is in total knee arthroplasty (TKA). The goal of this study was to investigate the influence of the... It remains unclear what the contribution of the PCL is in total knee arthroplasty (TKA). The goal of this study was to investigate the influence of the PCL in... Issue Title: Clinical outcome after total knee arthroplasty It remains unclear what the contribution of the PCL is in total knee arthroplasty (TKA). The goal...
SourceID	proquest pubmed crossref springer
SourceType	Aggregation Database Index Database Enrichment Source Publisher
StartPage	1644
SubjectTerms	Aged Aged, 80 and over Arthroplasty, Replacement, Knee - methods Clinical outcomes Female Humans Knee Knee Prosthesis Male Medicine Medicine & Public Health Middle Aged Muscle Strength - physiology Orthopedics Posterior Cruciate Ligament - surgery Proprioception - physiology Range of Motion, Articular - physiology Retrospective Studies
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Title	Does cruciate retention primary total knee arthroplasty affect proprioception, strength and clinical outcome?
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Volume	23
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