Stress Radiographs in the Posterior Drawer Position at 90° Flexion Should Be Used for the Evaluation of the PCL in CR TKA with Flexion Instability.

CR PCL TKA cruciate retaining flexion instability posterior cruciate ligament stress radiographs total knee arthroplasty

Journal

Journal of clinical medicine
ISSN: 2077-0383
Titre abrégé: J Clin Med
Pays: Switzerland
ID NLM: 101606588

Informations de publication

Date de publication:
15 Feb 2022
Historique:
received: 06 12 2021
revised: 09 02 2022
accepted: 10 02 2022
entrez: 25 2 2022
pubmed: 26 2 2022
medline: 26 2 2022
Statut: epublish

Résumé

The purpose of this study was to define a cut-off value for the posterior drawer position in stress radiography that confirms an insufficiency of the posterior cruciate ligament (PCL) in cruciate-retaining (CR) total knee arthroplasty (TKA). In this retrospective study, 20 symptomatic patients with flexion instability and suspected PCL insufficiency in CR TKA were included. Asymptomatic patients served as an age- and sex-matched control group. All of the patients had undergone stress radiography, and the posterior translation was measured in a posterior drawer position at 30° and 90° flexion. The two groups were compared using t-tests and chi-square tests. The stress radiographs showed significantly more posterior translation in the symptomatic group (

Identifiants

pubmed: 35207284
pii: jcm11041013
doi: 10.3390/jcm11041013
pmc: PMC8880224
pii:
doi:

Types de publication

Journal Article

Langues

eng

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Auteurs

Lukas B Moser (LB)

Department of Orthopaedic Surgery and Traumatology, Kantonsspital Baselland (Bruderholz, Liestal, Laufen), Bruderholz, CH-4101 Basel, Switzerland.
Research Group Michael T. Hirschmann, Regenerative Medicine & Biomechanics, Department of Clinical Research, University of Basel, CH-4001 Basel, Switzerland.

Matthias Koch (M)

Department of Orthopaedic Surgery and Traumatology, Kantonsspital Baselland (Bruderholz, Liestal, Laufen), Bruderholz, CH-4101 Basel, Switzerland.
Department of Trauma Surgery, University Medical Centre Regensburg, 93053 Regensburg, Germany.

Silvan Hess (S)

Research Group Michael T. Hirschmann, Regenerative Medicine & Biomechanics, Department of Clinical Research, University of Basel, CH-4001 Basel, Switzerland.

Ponnaian Prabhakar (P)

Department of Orthopaedics, Trauma and Arthroplasty, Care Superspeciality Hospitals, Nampally, Hyderabad 500 001, India.

Helmut Rasch (H)

Institute of Radiology and Nuclear Medicine, Kantonsspital Baselland (Bruderholz, Liestal, Laufen), Bruderholz, CH-4101 Liestal, Switzerland.

Felix Amsler (F)

Amsler Consulting, CH-4059 Basel, Switzerland.

Michael T Hirschmann (MT)

Department of Orthopaedic Surgery and Traumatology, Kantonsspital Baselland (Bruderholz, Liestal, Laufen), Bruderholz, CH-4101 Basel, Switzerland.
Research Group Michael T. Hirschmann, Regenerative Medicine & Biomechanics, Department of Clinical Research, University of Basel, CH-4001 Basel, Switzerland.

Classifications MeSH