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 |
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Authors: | Serna-Berna, Ricardo | Lizaur-Utrilla, Alejandro | Vizcaya-Moreno, M. 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. |
URI: | http://hdl.handle.net/10045/77651 |
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 |
Publisher version: | https://doi.org/10.1016/j.arth.2018.02.094 |
Appears in Collections: | INV - Enfermería Clínica - Artículos de Revistas |
Files in This Item:
File | Description | Size | Format | |
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2018_Serna-Berna_etal_JArthroplasty_final.pdf | Versión final (acceso restringido) | 234,77 kB | Adobe PDF | Open Request a copy |
2018_Serna-Berna_etal_JArthroplasty_accepted.pdf | Accepted Manuscript (acceso abierto) | 689,19 kB | Adobe PDF | Open Preview |
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