Cruciate-Retaining vs Posterior-Stabilized Primary Total Arthroplasty. Clinical Outcome Comparison With a Minimum Follow-Up of 10 Years

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Title: Cruciate-Retaining vs Posterior-Stabilized Primary Total Arthroplasty. Clinical Outcome Comparison With a Minimum Follow-Up of 10 Years
Authors: Serna-Berna, Ricardo | Lizaur-Utrilla, Alejandro | Vizcaya-Moreno, Maria Flores | Miralles Muñoz, Francisco A. | Gonzalez-Navarro, Blanca | López Prats, Fernando
Research Group/s: Enfermería Clínica (EC)
Center, Department or Service: Universidad de Alicante. Departamento de Enfermería
Keywords: Total knee arthroplasty | Cruciate-retaining | Posterior-stabilized | Functional outcome | Patient satisfaction
Knowledge Area: Enfermería
Issue Date: Aug-2018
Publisher: Elsevier
Citation: The Journal of Arthroplasty. 2018, 33(8): 2491-2495. doi:10.1016/j.arth.2018.02.094
Abstract: Background: Controversy continues regarding whether the posterior cruciate ligament should be retained or removed during total knee arthroplasty (TKA) procedure. The objective was to compare the clinical outcomes with a minimum follow-up of 10 years between patients who received contemporary cruciate-retaining or posterior-stabilized primary TKA. Methods: Case-control study of 268 patients who underwent cruciate-retaining TKA vs 211 to posterior-stabilized design, with the same arthroplasty system, and a minimum follow-up of 10 years. Clinical assessment was performed by Knee Society scores, Western Ontario and MacMasters Universities and Short-Form 12 questionnaires, range of motion, and patient satisfaction. Results: Successful outcomes were found for both designs. No significant differences in functional scores, range of motion, patient-related scores, or patient satisfaction. Between the 5-year and last postoperative follow-up, there were a significant decrease of all clinical scores in both groups. In addition, complication rate and implant survival were similar between groups. Conclusion: The superiority of one design over the other was not found. Both designs can be used expecting long-term successful outcomes and high survival. The choice of the design depended on the status of the posterior cruciate ligament and surgeon preference.
ISSN: 0883-5403 (Print) | 1532-8406 (Online)
DOI: 10.1016/j.arth.2018.02.094
Language: eng
Type: info:eu-repo/semantics/article
Rights: © 2018 Elsevier Inc.
Peer Review: si
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Appears in Collections:INV - Enfermería Clínica - Artículos de Revistas

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