Prediction of range of motion 2 years after mobile-bearing total knee arthroplasty: PCL-retaining versus PCL-sacrificing

Knee Surg Sports Traumatol Arthrosc. 2011 Dec;19(12):2002-8. doi: 10.1007/s00167-011-1395-2. Epub 2011 Feb 3.

Abstract

Purpose: This study evaluated the changes in the range of motion (ROM) with time postoperatively.

Method: The pre- and intraoperative ROM was compared with the ROM 3, 6, 12, and 24 months postoperatively to clarify the effects of posterior cruciate ligament-retaining (PCLR) and posterior cruciate ligament-sacrificing (PCLS) prostheses on the ROM. The changes in the ROM in PCLR (n = 57) and PCLS (n = 51) mobile-bearing total knee arthroplasties for osteoarthritis patients for whom complete data were available were examined.

Results: No significant difference was seen between the two prostheses at any time point. Nevertheless, the ROM 24 months after PCLR and PCLS prostheses could be predicted statistically from the ROM after 6 and 3 months, respectively.

Conclusion: This study showed the effects of retention of the PCL and the degree of its functional recovery on postoperative ROM for the two prostheses.

Publication types

  • Randomized Controlled Trial

MeSH terms

  • Aged
  • Arthroplasty, Replacement, Knee / methods*
  • Female
  • Humans
  • Knee Joint / physiopathology
  • Knee Joint / surgery
  • Male
  • Osteoarthritis, Knee / physiopathology*
  • Osteoarthritis, Knee / surgery*
  • Posterior Cruciate Ligament / physiopathology
  • Posterior Cruciate Ligament / surgery*
  • Predictive Value of Tests
  • Prosthesis Design
  • Range of Motion, Articular / physiology*
  • Recovery of Function
  • Treatment Outcome
  • Weight-Bearing