Posterior cruciate ligament balancing in total knee replacement

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Knee The role of the posterior cruciate ligament in total knee replacement

©2003 British Editorial Society of Bone and Joint Surgery doi.10.1302/0301-620X.85B3.13182 $2.00 e randomised 129 knees which were to be replaced using a standard posterior-cruciate-ligament (PCL)-retaining cemented total knee replacement into two groups. In one the PCL was retained in the normal way and in the other it was resected. They were well matched, with a predominance of women, and a m...

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Posterior cruciate ligament recruitment affects antero-posterior translation during flexion gap distraction in total knee replacement

BACKGROUND AND PURPOSE Because of the oblique orientation of the posterior cruciate ligament (PCL), flexion gap distraction could lead to anterior movement of the tibia, which would influence the tibiofemoral contact point. This would affect the kinematics of the TKR. We assessed the flexion gap parameters when the knee is distracted during implantation of a PCL-retaining TKR. Furthermore, the ...

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Posterior cruciate ligament balancing in total knee replacement: the quantitative relationship between tightness of the flexion gap and tibial translation.

We have examined the relationship between the size of the flexion gap and the anterior translation of the tibia in flexion during implantation of a posterior cruciate ligament (PCL)-retaining BalanSys total knee replacement (TKR). In 91 knees, the flexion gap and anterior tibial translation were measured intra-operatively using a custom-made, flexible tensor-spacer device. The results showed th...

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Criteria for preserving posterior cruciate ligament depending on intra-operative gap measurement in total knee replacement

OBJECTIVES Because posterior cruciate ligament (PCL) resection makes flexion gaps wider in total knee replacement (TKR), preserving or sacrificing a PCL affects the gap equivalence; however, there are no criteria for the PCL resection that consider gap situations of each knee. This study aims to investigate gap characteristics of knees and to consider the criteria for PCL resection. METHODS T...

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The role of the posterior cruciate ligament in total knee replacement

We randomised 129 knees which were to be replaced using a standard posterior-cruciate-ligament (PCL)-retaining cemented total knee replacement into two groups. In one the PCL was retained in the normal way and in the other it was resected. They were well matched, with a predominance of women, and a mean age of 67 years. There was no statistically significant difference in the Hospital for Speci...

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ژورنال

عنوان ژورنال: The Journal of Bone and Joint Surgery. British volume

سال: 2007

ISSN: 0301-620X,2044-5377

DOI: 10.1302/0301-620x.89b8.18976