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International Orthopaedics

Erschienen in:

19.12.2015 | Original Paper

Retrospective comparative study shows no significant difference in postural stability between cruciate-retaining (CR) and cruciate-substituting (PS) total knee implant systems

verfasst von: Juergen Götz, Johannes Beckmann, Ingo Sperrer, Clemens Baier, Silvia Dullien, Joachim Grifka, Franz Koeck

Erschienen in: International Orthopaedics | Ausgabe 7/2016

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Abstract

Purpose

Modified postural stability after retaining the posterior cruciate ligament (PCL) in total knee arthroplasty is still discussed controversially. The objective of this study was to evaluate whether a PCL-retaining implant design should be preferred over a PCL-substituting implant design regarding postural stability in one-leg stance and clinical outcome.

Methods

Forty patients underwent total knee arthroplasty, 20 of them with a cruciate-retaining (CR) and 20 of them with a cruciate-substituting (PS) implant system. Postural stability was analysed 6 months postoperatively in one-leg stance using the Biodex Balance System. In addition, the Western Ontario and McMaster Universities Arthritis Index (WOMAC) and Knee Society Score were completed.

Results

This study shows that there is no significant difference in postural stability between CR and PS) implant systems with PS implants showing better results in WOMAC score.

Conclusions

In case it is necessary to use a PS implant, no negative influence on postural stability is to be expected compared to a CR implant.

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Titel: Retrospective comparative study shows no significant difference in postural stability between cruciate-retaining (CR) and cruciate-substituting (PS) total knee implant systems
verfasst von: Juergen Götz
Johannes Beckmann
Ingo Sperrer
Clemens Baier
Silvia Dullien
Joachim Grifka
Franz Koeck
Publikationsdatum: 19.12.2015
Verlag: Springer Berlin Heidelberg
Erschienen in: International Orthopaedics / Ausgabe 7/2016
Print ISSN: 0341-2695
Elektronische ISSN: 1432-5195
DOI: https://doi.org/10.1007/s00264-015-3067-1

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Retrospective comparative study shows no significant difference in postural stability between cruciate-retaining (CR) and cruciate-substituting (PS) total knee implant systems