caa a22 4500 605456496 CHVBK 20210128100218.0 cr unu---uuuuu 210128e20150601xx s 000 0 eng 10.1007/s00167-014-3384-8 doi (NATIONALLICENCE)springer-10.1007/s00167-014-3384-8 Does cruciate retention primary total knee arthroplasty affect proprioception, strength and clinical outcome? [Elektronische Daten] [Pieter-Jan Vandekerckhove, Roel Parys, Thomas Tampere, Patrick Linden, Luc Van den Daelen, Peter Verdonk] 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. European Society of Sports Traumatology, Knee Surgery, Arthroscopy (ESSKA), 2014 Total knee arthroplasty nationallicence Posterior cruciate substituting nationallicence Posterior cruciate retaining nationallicence Proprioception nationallicence Balance nationallicence Strength nationallicence Vandekerckhove Pieter-Jan Department of Physiotherapy and Orthopaedic Surgery, Faculty of Medicine, University Hospital Ghent, De Pintelaan 185, 9000, Ghent, Belgium aut Parys Roel Department of Physical Medicine and Rehabilitation, University Hospital Leuven, Weligerveld 1, 3212, Pellenberg, Belgium aut Tampere Thomas Department of Physiotherapy and Orthopaedic Surgery, Faculty of Medicine, University Hospital Ghent, De Pintelaan 185, 9000, Ghent, Belgium aut Linden Patrick Department of Physical Medicine and Rehabilitation, Stedelijk Ziekenhuis Roeselare, Brugsesteenweg 90, 8800, Roeselare, Belgium aut Van den Daelen Luc Department of Orthopaedic Surgery and Traumatology, Stedelijk Ziekenhuis Roeselare, Brugsesteenweg 90, 8800, Roeselare, Belgium aut Verdonk Peter Department of Physiotherapy and Orthopaedic Surgery, Faculty of Medicine, University Hospital Ghent, De Pintelaan 185, 9000, Ghent, Belgium aut Knee Surgery, Sports Traumatology, Arthroscopy Springer Berlin Heidelberg 23/6(2015-06-01), 1644-1652 0942-2056 23:6<1644 2015 23 167 https://doi.org/10.1007/s00167-014-3384-8 text/html Onlinezugriff via DOI BK010053 XK010053 XK010000 Metadata rights reserved Springer special CC-BY-NC licence nationallicence 1 research-article jats NATIONALLICENCE NATIONALLICENCE NL-springer NATIONALLICENCE 856 40 https://doi.org/10.1007/s00167-014-3384-8 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Vandekerckhove Pieter-Jan Department of Physiotherapy and Orthopaedic Surgery, Faculty of Medicine, University Hospital Ghent, De Pintelaan 185, 9000, Ghent, Belgium aut NATIONALLICENCE 700 1- Parys Roel Department of Physical Medicine and Rehabilitation, University Hospital Leuven, Weligerveld 1, 3212, Pellenberg, Belgium aut NATIONALLICENCE 700 1- Tampere Thomas Department of Physiotherapy and Orthopaedic Surgery, Faculty of Medicine, University Hospital Ghent, De Pintelaan 185, 9000, Ghent, Belgium aut NATIONALLICENCE 700 1- Linden Patrick Department of Physical Medicine and Rehabilitation, Stedelijk Ziekenhuis Roeselare, Brugsesteenweg 90, 8800, Roeselare, Belgium aut NATIONALLICENCE 700 1- Van den Daelen Luc Department of Orthopaedic Surgery and Traumatology, Stedelijk Ziekenhuis Roeselare, Brugsesteenweg 90, 8800, Roeselare, Belgium aut NATIONALLICENCE 700 1- Verdonk Peter Department of Physiotherapy and Orthopaedic Surgery, Faculty of Medicine, University Hospital Ghent, De Pintelaan 185, 9000, Ghent, Belgium aut NATIONALLICENCE 773 0- Knee Surgery, Sports Traumatology, Arthroscopy Springer Berlin Heidelberg 23/6(2015-06-01), 1644-1652 0942-2056 23:6<1644 2015 23 167