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Comparing in vivo kinematics of anterior cruciate-retaining and posterior cruciate-retaining total knee arthroplasty

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

Abstract

The purpose of this study was to compare knee kinematics in patients with bi-cruciate preserving total knee arthroplasty and posterior cruciate ligament (PCL) preserving total knee arthroplasty. Five knees received PCL-retaining arthroplasty and nine knees received both cruciate-retaining arthroplasty (ACL/PCL knees). We studied treadmill gait, stair stepping, and maximum flexion activities using lateral fluoroscopy and shape matching. For maximum flexion, the ACL/PCL knees showed 6 mm more posterior translation of the lateral condyle (p < 0.05). For the stair activity, posterior translations of the lateral condyle were significantly greater in the ACL/PCL knees from 30° to 70° flexion (p < 0.05). Both condyles in the ACL/PCL knees showed greater posterior translation in the stance and swing phases of gait than in the PCL knees (p < 0.05). Preserving both cruciate ligaments in total knee arthroplasty appears to maintain some basic features of normal knee kinematics in these activities.

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Authors and Affiliations

  1. Department of Mechanical and Aerospace Engineering, University of Florida, P.O. Box 116250, Gainesville, FL, 32611-6250, USA

    Taka-aki Moro-oka & Scott A. Banks

  2. The BioMotion Foundation, West Palm Beach, FL, USA

    Scott A. Banks

  3. Seimeikai Moro-oka Orthopaedic Hospital, Fukuoka, Japan

    Taka-aki Moro-oka

  4. Zimmer GmbH, Winterthur, Switzerland

    Marc Muenchinger

  5. CMC, Rennes, Volney, France

    Jean-Pierre Canciani

Authors
  1. Taka-aki Moro-oka
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  2. Marc Muenchinger
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  3. Jean-Pierre Canciani
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  4. Scott A. Banks
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Correspondence to Scott A. Banks.

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Moro-oka, Ta., Muenchinger, M., Canciani, JP. et al. Comparing in vivo kinematics of anterior cruciate-retaining and posterior cruciate-retaining total knee arthroplasty. Knee Surg Sports Traumatol Arthr 15, 93–99 (2007). https://doi.org/10.1007/s00167-006-0134-6

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  • DOI: https://doi.org/10.1007/s00167-006-0134-6

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