The bicruciate-retaining TKA: Two is better than one |
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Affiliation: | 1. Department of Orthopaedics, Northwestern University, Chicago, Illinois;2. Department of Orthopaedics, Rush University, Chicago, Illinois;3. Central Dupage Hospital, Winfield, Illinois;4. Department of Anesthesia, Rush University, Chicago, Illinois;1. Texas Center for Joint Replacement, Plano, Texas;2. Plano Orthopedic Sports Medicine & Spine Center, Plano, Texas;1. Department of Orthopaedic Surgery and Traumatology, Kantonsspital Baselland (Bruderholz, Liestal, Laufen), CH-4101 Bruderholz, Switzerland;2. Amsler Consulting, CH-4059 Basel, Switzerland;3. University of Basel, Basel, Switzerland;1. Department of Orthopaedics, Takagi Hospital Oume Knee Surgery Center, Tokyo, Japan;2. Ishii Orthopaedic and Rehabilitation Clinic, Saitama, Japan;3. Institute of Rheumatology, Tokyo Women''s Medical University, Tokyo, Japan;4. Department of Mechanical & Aerospace Engineering, University of Florida, Gainesville, FL, USA;5. Department of Orthopaedics and Rehabilitation, University of Florida, Gainesville, FL, USA |
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Abstract: | Bicruciate-retaining total knee arthroplasty (TKA), which retains both the anterior and posterior cruciate ligaments, serves as an alternative to the traditional TKA procedure. This article highlights the relevant clinical investigations using the bicruciate-retaining TKA and their findings. Despite the difficulty of ensuring the structural integrity of the prosthesis, the bicruciate-retaining TKA can yield improved patient outcomes such as range of motion, kinematics, and even the survivorship of the implant. When possible, the bicruciate-retaining TKA can and should be considered as a viable option to treat end-stage arthritis of the knee. |
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