An Algorithm for the Posterior Cruciate Ligament in Total Knee Arthroplasty
| Autor: | Adolph V. Lombardi, Joanne B. Adams, Robert A. Fada, Jodi F. Hartman, Susan G. Capps, Cheryl A. Kefauver, Thomas H. Mallory |
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| Rok vydání: | 2001 |
| Předmět: |
Adult
Male musculoskeletal diseases medicine.medical_specialty Chirurgie orthopedique medicine.medical_treatment Total knee arthroplasty Aseptic loosening Prosthesis Total knee medicine Humans Orthopedics and Sports Medicine Arthroplasty Replacement Knee Aged Aged 80 and over business.industry General Medicine Middle Aged musculoskeletal system Arthroplasty Treatment Outcome medicine.anatomical_structure Posterior cruciate ligament Orthopedic surgery Female Posterior Cruciate Ligament Surgery business human activities Algorithm Algorithms |
| Zdroj: | Clinical Orthopaedics and Related Research. 392:75-87 |
| ISSN: | 0009-921X |
| Popis: | The fate of the posterior cruciate ligament in primary total knee arthroplasty is controversial. An algorithmic approach is presented that is based on pathologic criteria for evaluating and treating patients with primary total knee arthroplasty that will aid in the posterior cruciate ligament decision-making process, producing more predictable procedures and outcomes. A consecutive series of the first 120 patients (171 knees) who had primary posterior cruciate-retaining arthroplasty and the first 120 patients (180 knees) who had primary posterior-stabilized arthroplasty with a minimum 5-year followup in which the Maxims Complete Total Knee System and the algorithmic approach were used were compared. No statistically significant differences in outcome between the groups were observed. Among the patients who had posterior cruciate-retaining arthroplasty, no revisions attributable to aseptic loosening have been reported at an average followup of 6.39 years. The average followup Knee Society total score was 162.16 points, with 91 (54.8%) knees having excellent outcome ratings. No revisions attributable to aseptic loosening have been reported among the patients who had posterior-stabilized arthroplasty at an average followup of 5.98 years. The average followup Knee Society total score was 158.05 points, with excellent outcome ratings reported in 96 (54.9%) knees. The use of a standardized algorithm has streamlined the treatment of patients having primary total knee arthroplasty, consistently providing excellent clinical results when either retaining or sacrificing the posterior cruciate ligament. |
| Databáze: | OpenAIRE |
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