The Hip and Knee Journal
Vol 2, No 1 (2021): February

Range of Motion Outcomes Post Cruciate-Retaining vs Posterior Stabilized Total Knee Arthroplasty: A Retrospective Multi-Centre Cohort Study

Oliver Emmanuel Yausep (Faculty of Medicine, University of Indonesia)
Ifran Saleh (Department of Orthopaedics and Traumatology, Ciptomangunkusumo Hospital, Jakarta, Indonesia)
Adryan Tanujaya (Department of Orthopaedics and Traumatology, St. Carolus Hospital, Jakarta, Indonesia)



Article Info

Publish Date
20 Feb 2021

Abstract

Background: The outcome for TKA (total knee arthroplasty) upon whether the posterior cruciate ligament is preserved with cruciate retaining (CR) prostheses or sacrificed with posterior stabilized (PS) prostheses are still debated between studies. Materials and Methods: We included a total of 144 knees operated with cemented fixed bearing primary CR or PS TKAs. Independent t-tests were conducted for the outcomes and possible confounding variables between groups where relevant, with analyses using Chi-squared tests for nominal data. Results: Operation on patients with age of lower than 65 years predicts increased intraoperative bleeding volume (p = 0.037), pre-operative range of motion (ROM) of less than 90 degrees was a predictor for better improved post-operative ROM (p 0.001) and PS prostheses is superior to CR in terms of ROM improvement (p = 0.04), however with both groups achieving similar maximum ROM (p = 0.308). Conclusion: Improvement of ROM is increased by the use of PS prostheses compared to CS prostheses, with pre-operative ROM as a possible confounding factor and the maximum ROM achieved for both prostheses being similar. Lower age of the operation is also related to increased intraoperative bleeding

Copyrights © 2021






Journal Info

Abbrev

hipknee

Publisher

Subject

Biochemistry, Genetics & Molecular Biology Decision Sciences, Operations Research & Management Education Health Professions Neuroscience

Description

The journal publishes original research articles, review articles, case reports, and short communications. In addition, the regular content includes letters to the Editor and conference proceedings. Submitted papers must be written in English for an initial review stage by editors and further review ...