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

Verfasser / Beitragende:
[Pieter-Jan Vandekerckhove, Roel Parys, Thomas Tampere, Patrick Linden, Luc Van den Daelen, Peter Verdonk]
Ort, Verlag, Jahr:
2015
Enthalten in:
Knee Surgery, Sports Traumatology, Arthroscopy, 23/6(2015-06-01), 1644-1652
Format:
Artikel (online)
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024 7 0 |a 10.1007/s00167-014-3384-8  |2 doi 
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245 0 0 |a Does cruciate retention primary total knee arthroplasty affect proprioception, strength and clinical outcome?  |h [Elektronische Daten]  |c [Pieter-Jan Vandekerckhove, Roel Parys, Thomas Tampere, Patrick Linden, Luc Van den Daelen, Peter Verdonk] 
520 3 |a 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 1year 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. 
540 |a European Society of Sports Traumatology, Knee Surgery, Arthroscopy (ESSKA), 2014 
690 7 |a Total knee arthroplasty  |2 nationallicence 
690 7 |a Posterior cruciate substituting  |2 nationallicence 
690 7 |a Posterior cruciate retaining  |2 nationallicence 
690 7 |a Proprioception  |2 nationallicence 
690 7 |a Balance  |2 nationallicence 
690 7 |a Strength  |2 nationallicence 
700 1 |a Vandekerckhove  |D Pieter-Jan  |u Department of Physiotherapy and Orthopaedic Surgery, Faculty of Medicine, University Hospital Ghent, De Pintelaan 185, 9000, Ghent, Belgium  |4 aut 
700 1 |a Parys  |D Roel  |u Department of Physical Medicine and Rehabilitation, University Hospital Leuven, Weligerveld 1, 3212, Pellenberg, Belgium  |4 aut 
700 1 |a Tampere  |D Thomas  |u Department of Physiotherapy and Orthopaedic Surgery, Faculty of Medicine, University Hospital Ghent, De Pintelaan 185, 9000, Ghent, Belgium  |4 aut 
700 1 |a Linden  |D Patrick  |u Department of Physical Medicine and Rehabilitation, Stedelijk Ziekenhuis Roeselare, Brugsesteenweg 90, 8800, Roeselare, Belgium  |4 aut 
700 1 |a Van den Daelen  |D Luc  |u Department of Orthopaedic Surgery and Traumatology, Stedelijk Ziekenhuis Roeselare, Brugsesteenweg 90, 8800, Roeselare, Belgium  |4 aut 
700 1 |a Verdonk  |D Peter  |u Department of Physiotherapy and Orthopaedic Surgery, Faculty of Medicine, University Hospital Ghent, De Pintelaan 185, 9000, Ghent, Belgium  |4 aut 
773 0 |t Knee Surgery, Sports Traumatology, Arthroscopy  |d Springer Berlin Heidelberg  |g 23/6(2015-06-01), 1644-1652  |x 0942-2056  |q 23:6<1644  |1 2015  |2 23  |o 167 
856 4 0 |u https://doi.org/10.1007/s00167-014-3384-8  |q text/html  |z Onlinezugriff via DOI 
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900 7 |a Metadata rights reserved  |b Springer special CC-BY-NC licence  |2 nationallicence 
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950 |B NATIONALLICENCE  |P 700  |E 1-  |a Vandekerckhove  |D Pieter-Jan  |u Department of Physiotherapy and Orthopaedic Surgery, Faculty of Medicine, University Hospital Ghent, De Pintelaan 185, 9000, Ghent, Belgium  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Parys  |D Roel  |u Department of Physical Medicine and Rehabilitation, University Hospital Leuven, Weligerveld 1, 3212, Pellenberg, Belgium  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Tampere  |D Thomas  |u Department of Physiotherapy and Orthopaedic Surgery, Faculty of Medicine, University Hospital Ghent, De Pintelaan 185, 9000, Ghent, Belgium  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Linden  |D Patrick  |u Department of Physical Medicine and Rehabilitation, Stedelijk Ziekenhuis Roeselare, Brugsesteenweg 90, 8800, Roeselare, Belgium  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Van den Daelen  |D Luc  |u Department of Orthopaedic Surgery and Traumatology, Stedelijk Ziekenhuis Roeselare, Brugsesteenweg 90, 8800, Roeselare, Belgium  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Verdonk  |D Peter  |u Department of Physiotherapy and Orthopaedic Surgery, Faculty of Medicine, University Hospital Ghent, De Pintelaan 185, 9000, Ghent, Belgium  |4 aut 
950 |B NATIONALLICENCE  |P 773  |E 0-  |t Knee Surgery, Sports Traumatology, Arthroscopy  |d Springer Berlin Heidelberg  |g 23/6(2015-06-01), 1644-1652  |x 0942-2056  |q 23:6<1644  |1 2015  |2 23  |o 167