Comparing in vivo kinematics of anterior cruciate-retaining and posterior cruciate-retaining total knee arthroplasty.
The purpose of this study was to compare knee kinematics in patients with bi-cruciate preserving total knee arthroplasty and posterior cruciate ligament (PCL) preserving total knee arthroplasty. Five knees received PCL-retaining arthroplasty and nine knees received both cruciate-retaining arthroplasty (ACL/PCL knees). We studied treadmill gait, stair stepping, and maximum flexion activities using lateral fluoroscopy and shape matching. For maximum flexion, the ACL/PCL knees showed 6 mm more posterior translation of the lateral condyle (p < 0.05). For the stair activity, posterior translations of the lateral condyle were significantly greater in the ACL/PCL knees from 30 degrees to 70 degrees flexion (p < 0.05). Both condyles in the ACL/PCL knees showed greater posterior translation in the stance and swing phases of gait than in the PCL knees (p < 0.05). Preserving both cruciate ligaments in total knee arthroplasty appears to maintain some basic features of normal knee kinematics in these activities.
Moro-oka
Taka-aki
TA
Department of Mechanical and Aerospace Engineering, University of Florida, P.O. Box 116250, Gainesville, FL 32611-6250, USA.
Muenchinger
Marc
M
Canciani
Jean-Pierre
JP
Banks
Scott A
SA
D016118:Anterior Cruciate Ligament / Q000502:physiology*; D019645:Arthroplasty, Replacement, Knee / Q000379:methods*; D001696:Biomechanical Phenomena; D005471:Fluoroscopy; D005684:Gait / Q000502:physiology; D006801:Humans; D021621:Imaging, Three-Dimensional; D007719:Knee Joint / Q000000981:diagnostic imaging / Q000502:physiology* / Q000601:surgery; D009068:Movement / Q000502:physiology; D016119:Posterior Cruciate Ligament / Q000502:physiology*; D016059:Range of Motion, Articular / Q000502:physiology