Retention versus sacrifice of the posterior cruciate ligament in total knee replacement for treatment of osteoarthritis and rheumatoid arthritis.

@article{Jacobs2005RetentionVS,
  title={Retention versus sacrifice of the posterior cruciate ligament in total knee replacement for treatment of osteoarthritis and rheumatoid arthritis.},
  author={Wilco C. H. Jacobs and Darren J Clement and Ate B Wymenga},
  journal={The Cochrane database of systematic reviews},
  year={2005},
  volume={4},
  pages={
          CD004803
        }
}
BACKGROUND The functional and clinical results to support the choice whether or not to retain the posterior cruciate ligament (PCL) during total knee arthroplasty have not been gathered and analysed so far. There are at least some trials showing no difference. OBJECTIVES To identify the difference in functional, clinical, and radiological outcome between retention and sacrifice of the PCL in total knee arthroplasty in patients with osteoarthrosis and other non-traumatic diseases. SEARCH… Expand
Retention versus sacrifice of the posterior cruciate ligament in total knee arthroplasty for treating osteoarthritis.
TLDR
The aim was to assess the benefits and harms of retention compared to sacrifice of the posterior cruciate ligament in total knee arthroplasty in patients with osteoarthritis of the knee. Expand
Similar outcome after retention or sacrifice of the posterior cruciate ligament in total knee arthroplasty
TLDR
No recommendation can be made as to whether to retain or to sacrifice the PCL in TKA, in terms of functional and clinical outcomes, and the quality of the studies ranged from moderate to low. Expand
Does Recession of the Posterior Cruciate Ligament Influence Outcome in Total Knee Arthroplasty?
TLDR
Evidence of similar clinical outcomes when the PCL is retained or released during PCL-retaining TKA is presented, provided attention is paid to appropriate soft tissue balancing. Expand
Cemented, cementless or hybrid fixation options in total knee arthroplasty for osteoarthritis and other non-traumatic diseases.
TLDR
Cemented fixation of the tibial components demonstrated smaller displacement in relation to cementless fixation in studies with osteoarthritis and rheumatoid arthritis participants who underwent primary total knee prosthesis with a follow-up of two years; however, the cemented fixation presented a greater risk of future aseptic loosening than cement less fixation. Expand
Posterior cruciate-retaining versus posterior stabilized total knee arthroplasty: a meta-analysis of randomized controlled trials
TLDR
Posterior cruciate-retaining and posterior stabilized TKA have similar clinical outcomes with regard to knee function, postoperative knee pain and the other complications, and there are no differences between them at short- and middle-term follow-up. Expand
Dysfunction of the posterior cruciate ligament in total knee arthroplasty
TLDR
The use of the PS prosthesis for TKA provides a more predictable outcome with regard to posterior sag and a better maximum flexion than a CR implant. Expand
Differences in outcome after cruciate retaining and posterior stabilized total knee arthroplasty
TLDR
PS knee replacements showed greater improvement in stiffness at 1 year postoperatively than CR knee replacements, and there was no difference observed at 5 or 10 years postoperative. Expand
Does cruciate retention primary total knee arthroplasty affect proprioception, strength and clinical outcome?
TLDR
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. Expand
Factors affecting anteroposterior instability following cruciate-retaining total knee arthroplasty in patients with rheumatoid arthritis.
TLDR
The results indicate that TD is basically maintained during the course of CR-TKA in RA, but may be slightly affected by factors other than the PCL itself. Expand
Comparison of Functional Outcome of Total Knee Replacement Between Cruciate Retaining and Cruciate Substituting Prosthesis in Cipto Mangunkusumo Hospital
TLDR
Functional outcome based on International Knee Documentation Committee score score did not show significant differences between two groups whether 3 or 6 months after operation, and that of cruciate retaining and substituting groups. Expand
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References

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Posterior cruciate ligament at total knee replacement. Essential, beneficial or a hindrance?
TLDR
There were, however, significantly worse knee and function scores in the group in whom the PCL was released (p = 0.002), while there were no statistical differences in the knee or function scores or the range of movement between the excised, retained and substituted groups. Expand
The role of the posterior cruciate ligament in total knee replacement.
TLDR
It is shown that the PCL is not functional in most patients with a total knee replacement even when retained, and patients with an excised PCL show a good result with a PCL-retaining implant, thereby questioning the need for a posterior stabilised design in such a situation. Expand
Posterior cruciate ligament-sparing versus posterior cruciate ligament-sacrificing arthroplasty. Functional results using the same prosthesis.
TLDR
The functional outcomes of 143 total knee arthroplasties performed by 1 surgeon between 1988 and 1992 were reviewed and support the argument that PCL sacrifice should be considered in cases in which extensive releases and complex ligamentous balancing are required. Expand
The influence of the posterior cruciate ligament in the maintenance of joint line in primary total knee arthroplasty: a radiologic study.
TLDR
The theoretical elevation of the joint line that occurs with the sacrifice of the PCL was not found to occur radiologically, and the restoration of the true joint line was a goal in primary TKA. Expand
Functional Comparison of Posterior Cruciate Retention and Substitution Knee Replacement
TLDR
Foroscopic kinematics showed that the posterior stabilized knee experienced anteroposterior femorotibial translation more similar to the normal knee during normal gait and deep knee bend, not in agreement with the predicted better functional results of cruciate retained knees as determined by gait studies. Expand
Posterior-stabilized versus cruciate-retaining total knee arthroplasty: balancing the gap.
TLDR
It is suggested that with careful attention to surgical technique and balancing the knee, orthopaedic surgeons should expect similar results whether they use a CR or PS total knee arthroplasties. Expand
Comparison of range of motion after posterior cruciate ligament retention or sacrifice with a mobile bearing total knee arthroplasty.
TLDR
Factors affecting range of motion at 24 months in 782 total knee arthroplasties performed between 1983 and 1987 in a nonrandomized, multicenter clinical trial by 17 independent surgeons revealed that age and gender did not reveal any differences in outcome. Expand
Functional comparison of posterior cruciate-retaining versus posterior stabilized total knee arthroplasty.
A prospective, randomized comparison of posterior cruciate-retaining (PCR) and posterior stabilized (PS) total knee arthroplasties (TKAs) was conducted in 20 patients who underwent bilateral TKAs forExpand
Posterior-Stabilized and Cruciate-Retaining Total Knee Replacement: A Randomized Study
TLDR
Based on the various parameters analyzed, there were no notable differences between the groups with a posterior-stabilized and a cruciate-retaining total knee implant at 2 years and this trend seemed to be the same at 3 years. Expand
Early, incapacitating instability of posterior cruciate ligament-retaining total knee arthroplasty.
TLDR
In 13 patients, 16 PCL-retaining TKAs were identified with incapacitating instability secondary to early PCL deficiency, and this complication occurs more frequently than is currently being identified and should be considered in problem T kAs with normal radiographs. Expand
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