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Native rotational knee kinematics are lost in bicruciate-retaining total knee arthroplasty when the tibial component is replaced

  • Knee
  • Published:
Knee Surgery, Sports Traumatology, Arthroscopy Aims and scope

Abstract

Purpose

To compare the kinematics between native knees and knees that have undergone bicruciate-retaining (BCR) total knee arthroplasty (TKA) with cruciate-retaining (CR) TKA converted from BCR TKA in the same whole-body cadaveric specimen using a navigation system and, if differences exist, to investigate the point at which normal kinematics are lost during the procedure.

Methods

The rotational kinematics throughout passive flexion of the native knee and of knees after meniscectomy, femoral replacement, BCR TKA, or CR TKA were assessed in nine fresh frozen cadavers using an image-free navigation system.

Results

The rotational kinematic pattern of a knee after BCR TKA was different from that of a native knee, especially in the early flexion phase, and was similar to that after CR TKA. Screw-home movement was not observed after BCR TKA, but still occurred after meniscectomy or femoral replacement with intact cruciate ligaments and an intact tibial articular surface.

Conclusion

The rotational kinematics of the native knee are not always preserved after BCR TKA. Native rotational kinematics are preserved after meniscectomy and femoral replacement, but are lost after tibial replacement in BCR TKA. Surgeons should pay close attention to maintain the anteroposterior stabilizing function of the ACL in BCR TKA, rather than to restore the native rotational kinematics.

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Author information

Authors and Affiliations

  1. Department of Orthopedics, Institute of Biomedical Sciences, Tokushima University Graduate School, 3-18-15, Kuramoto, Tokushima, 770-8503, Japan

    Daisuke Hamada, Keizo Wada, Tomoya Takasago, Tomohiro Goto, Akihiro Nitta, Kosaku Higashino & Koichi Sairyo

  2. Department of Anatomy and Developmental Neurobiology, Institute of Biomedical Sciences, Tokushima University Graduate School, 3-18-15, Kuramoto, Tokushima, 770-8503, Japan

    Kosaku Higashino & Yoshihiro Fukui

Authors
  1. Daisuke Hamada
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  2. Keizo Wada
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  3. Tomoya Takasago
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  4. Tomohiro Goto
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  5. Akihiro Nitta
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  6. Kosaku Higashino
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  7. Yoshihiro Fukui
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  8. Koichi Sairyo
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Corresponding author

Correspondence to Daisuke Hamada.

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Conflict of interest

The authors declare that they have no conflict of interest.

Funding

No funding has been received for this study.

Ethical approval

All performed procedures were approved by the institutional review board of Tokushima University Hospital (the ID number of approval was 2068) and done in accordance with the 1964 Declaration of Helsinki and its later amendments for comparable ethical standards.

Informed consent

Cadaveric specimens were obtained from Clinical Anatomy Education and Research Center, Tokushima University Hospital. Donors had dedicated their bodies to education and research in their lifetime.

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Hamada, D., Wada, K., Takasago, T. et al. Native rotational knee kinematics are lost in bicruciate-retaining total knee arthroplasty when the tibial component is replaced. Knee Surg Sports Traumatol Arthrosc 26, 3249–3256 (2018). https://doi.org/10.1007/s00167-018-4842-5

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  • DOI: https://doi.org/10.1007/s00167-018-4842-5

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