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Decreased posterior tibial slope increases strain in the posterior cruciate ligament following total knee arthroplasty
Affiliation:1. Department of General, Trauma and Reconstructive Surgery, University Hospital, LMU Munich, Germany;2. Research Group CAPS - Computer Aided Plastic Surgery, Department of Plastic Surgery and Hand Surgery, University Hospital Klinikum rechts der Isar, Technical University Munich, Germany;3. FIFA Medical Center of Excellence, Division of Knee, Hip and Shoulder Surgery, Schoen Clinic Munich Harlaching, Academic Teaching Hospital of the Paracelsus Medical University (PMU), Salzburg, Austria;1. Chaire de recherche en anatomie fonctionnelle, Université du Québec à Trois-Rivières, 3351, boul. des Forges C.P. 500, Trois-Rivières, QC G8Z 4M3, Canada;2. Département d''anatomie, Université du Québec à Trois-Rivières, 3351, boul. des Forges C.P. 500, Trois-Rivières, QC G8Z 4M3, Canada;3. École de Kinésiologie et des Sciences de l''Activité Physique, Faculté de Médecine, Université de Montréal, Campus Laval, 1700 rue Jacques Tétreault, Laval H7N 0B6, QC, Canada;4. Centre Hospitalier Universitaire Sainte-Justine Research center, Montreal, Canada
Abstract:The purpose of this study was to measure the strain in the posterior cruciate ligament as a function of knee flexion angle and posterior tibial slope following total knee arthroplasty with a posterior cruciate ligament-retaining design. Posterior cruciate ligament strain was measured in seven fresh-frozen cadavers for posterior tibial slopes of 10°, 8°, and 5°. For all three levels of tibial slope tested, strain in the posterior cruciate ligament increased with increasing flexion angle to approximately 100° and then decreased with increasing flexion. The strain measured at 8° posterior tibial slope was greater than that measured at 10°, but the difference was not significant. The strain measured at 5° posterior slope was significantly greater than strain measured at both 8° and 10°. This increased strain may result in altered knee kinematics and reduced range of motion at higher flexion angles.
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