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Bicruciate Total Knee Arthroplasty

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Minimally Invasive Surgery in Orthopedics

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Abstract

The history of total knee arthroplasty (TKA) design has been rooted in the balance of forces that guide normal knee motion. The tibiofemoral articular geometry, ligamentous tension, and surrounding muscles together control the rotation for the medial and lateral femoral condyles as the knee moves from extension to full flexion. Progress in TKA design over the past decades is based on utilizing emerging technology to restore the balance of these forces to create a prosthesis that is both long-lasting and natural feeling. There is increasing evidence to suggest that these goals are wholly complementary. The bicruciate ligament retaining (BCR) design aims to further improve patient satisfaction and implant survivorship by addressing knee kinematics and proprioception. The early results reported by the designers of the BCR knees were comparable to those of the posterior stabilized and cruciate-retaining total knees. However, the results were not reproduced by non-designing surgeons and the concept fell out of favor. Recent advances in instrumentation and prosthetic design have led to increased interest in the BCR knee.

Bertrand W. Parcells and Jared S. Preston’s conflicts of interest: none

Alfred J. Tria Jr.’s conflicts of interest: royalties from Smith and Nephew, consultant for Smith and Nephew, and consultant for Medtronic and Pacira

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Authors and Affiliations

  1. PGY IV, Department of Orthopaedic Surgery, Rutgers-Robert Wood Johnson Medical School, New Brunswick, NJ, USA

    Bertrand W. Parcells

  2. PGY II, Department of Orthopaedic Surgery, Rutgers-Robert Wood Johnson Medical School, New Brunswick, NJ, USA

    Jared S. Preston

  3. Department of Orthopaedic Surgery, Rutgers-Robert Wood Johnson Medical School, New Brunswick, NJ, USA

    Bertrand W. Parcells, Jared S. Preston & Alfred J. Tria Jr.

  4. Department of Orthopaedic Surgery, St. Peter’s University Hospital, New Brunswick, NJ, USA

    Alfred J. Tria Jr.

Authors
  1. Bertrand W. Parcells
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  2. Jared S. Preston
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  3. Alfred J. Tria Jr.
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Correspondence to Bertrand W. Parcells .

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Editors and Affiliations

  1. Orthopedic Service Line, Northwell Health , New York, New York, USA

    Giles R. Scuderi

  2. Department of Orthopedic Surgery, Rutgers-Robert Wood JohnsonMedicalSchool Department of Orthopedic Surgery, New Brunswick, New Jersey, USA

    Alfred J. Tria

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Parcells, B.W., Preston, J.S., Tria, A.J. (2016). Bicruciate Total Knee Arthroplasty. In: Scuderi, G., Tria, A. (eds) Minimally Invasive Surgery in Orthopedics. Springer, Cham. https://doi.org/10.1007/978-3-319-34109-5_64

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  • DOI: https://doi.org/10.1007/978-3-319-34109-5_64

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