No Significant Differences in Clinical and Radiographic Outcomes between PCL Retained or Sacrificed Kinematic Aligned Medial Pivot Total Knee Arthroplasty in Varus Knee
In the last decades, several surgical techniques, such as medial pivot (MP) philosophy and kinematic alignment (KA), have been introduced in total knee arthroplasty (TKA) to improve patients’ outcomes. This retrospective study aims to evaluate the clinical, radiographic, and functional results of PC...
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| Format: | Article |
| Language: | English |
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MDPI AG
2022-11-01
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| Series: | Journal of Clinical Medicine |
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| Online Access: | https://www.mdpi.com/2077-0383/11/21/6569 |
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| author | Fortunato Giustra Francesco Bosco Giorgio Cacciola Salvatore Risitano Marcello Capella Alessandro Bistolfi Alessandro Massè Luigi Sabatini |
| author_facet | Fortunato Giustra Francesco Bosco Giorgio Cacciola Salvatore Risitano Marcello Capella Alessandro Bistolfi Alessandro Massè Luigi Sabatini |
| author_sort | Fortunato Giustra |
| collection | DOAJ |
| description | In the last decades, several surgical techniques, such as medial pivot (MP) philosophy and kinematic alignment (KA), have been introduced in total knee arthroplasty (TKA) to improve patients’ outcomes. This retrospective study aims to evaluate the clinical, radiographic, and functional results of PCL preservation or sacrifice in KA MP-TKA. A consecutive series of 147 patients older than 60, with a minimum follow-up of two years, were treated with TKA for severe primary knee osteoarthritis (OA) at the Department of Orthopedics and Traumatology between 1 January 2019, and 1 July 2020. After excluding those not meeting the inclusion criteria, 64 patients were included in the study analysis. Regarding radiographic outcomes, no statistically significant difference was observed between patients with preserved or sacrificed PCL (<i>p</i> > 0.05). A slight improvement in Knee Society Score (KSS), knee and function score, and FJS was observed for the PCL-preserved group, although this superiority tendency was not statistically significant (<i>p</i> > 0.05). PCL-preserved MA MP-TKA reported a statistically significant result in only two questions on the FJS questionnaire (<i>p</i> < 0.05). A slight, non-statistically significant improvement in active ROM was found in the PCL-sacrificed group (<i>p</i> > 0.05). No interventions or revisions were reported in this case series for all treated patients at the final follow-up. No significant differences were described in clinical, radiographic, and functional outcomes in preserved or sacrificed PCL KA MP-TKA. Although not significant, a slight trend toward better clinical outcomes was reported in PCL-preserved KA MP-TKA. |
| first_indexed | 2024-03-09T18:57:48Z |
| format | Article |
| id | doaj.art-8bafa32c57a24f00a8cfa287a55aa280 |
| institution | Directory Open Access Journal |
| issn | 2077-0383 |
| language | English |
| last_indexed | 2024-03-09T18:57:48Z |
| publishDate | 2022-11-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Journal of Clinical Medicine |
| spelling | doaj.art-8bafa32c57a24f00a8cfa287a55aa2802023-11-24T05:19:49ZengMDPI AGJournal of Clinical Medicine2077-03832022-11-011121656910.3390/jcm11216569No Significant Differences in Clinical and Radiographic Outcomes between PCL Retained or Sacrificed Kinematic Aligned Medial Pivot Total Knee Arthroplasty in Varus KneeFortunato Giustra0Francesco Bosco1Giorgio Cacciola2Salvatore Risitano3Marcello Capella4Alessandro Bistolfi5Alessandro Massè6Luigi Sabatini7Department of Orthopedics and Traumatology, University of Turin, CTO Turin, Via Zuretti 29, 10126 Turin, ItalyDepartment of Orthopedics and Traumatology, University of Turin, CTO Turin, Via Zuretti 29, 10126 Turin, ItalyDepartment of Orthopedics and Traumatology, University of Turin, CTO Turin, Via Zuretti 29, 10126 Turin, ItalyDepartment of Orthopedics and Traumatology, University of Turin, CTO Turin, Via Zuretti 29, 10126 Turin, ItalyDepartment of Orthopedics and Traumatology, University of Turin, CTO Turin, Via Zuretti 29, 10126 Turin, ItalyOrthopedics and Traumatology, Ospedale Cardinal Massaia Asti, Via Conte Verde 125, 14100 Asti, ItalyDepartment of Orthopedics and Traumatology, University of Turin, CTO Turin, Via Zuretti 29, 10126 Turin, ItalyDepartment of Orthopedics and Traumatology, University of Turin, CTO Turin, Via Zuretti 29, 10126 Turin, ItalyIn the last decades, several surgical techniques, such as medial pivot (MP) philosophy and kinematic alignment (KA), have been introduced in total knee arthroplasty (TKA) to improve patients’ outcomes. This retrospective study aims to evaluate the clinical, radiographic, and functional results of PCL preservation or sacrifice in KA MP-TKA. A consecutive series of 147 patients older than 60, with a minimum follow-up of two years, were treated with TKA for severe primary knee osteoarthritis (OA) at the Department of Orthopedics and Traumatology between 1 January 2019, and 1 July 2020. After excluding those not meeting the inclusion criteria, 64 patients were included in the study analysis. Regarding radiographic outcomes, no statistically significant difference was observed between patients with preserved or sacrificed PCL (<i>p</i> > 0.05). A slight improvement in Knee Society Score (KSS), knee and function score, and FJS was observed for the PCL-preserved group, although this superiority tendency was not statistically significant (<i>p</i> > 0.05). PCL-preserved MA MP-TKA reported a statistically significant result in only two questions on the FJS questionnaire (<i>p</i> < 0.05). A slight, non-statistically significant improvement in active ROM was found in the PCL-sacrificed group (<i>p</i> > 0.05). No interventions or revisions were reported in this case series for all treated patients at the final follow-up. No significant differences were described in clinical, radiographic, and functional outcomes in preserved or sacrificed PCL KA MP-TKA. Although not significant, a slight trend toward better clinical outcomes was reported in PCL-preserved KA MP-TKA.https://www.mdpi.com/2077-0383/11/21/6569total knee replacementTKAPCLretainsacrificemedial pivot |
| spellingShingle | Fortunato Giustra Francesco Bosco Giorgio Cacciola Salvatore Risitano Marcello Capella Alessandro Bistolfi Alessandro Massè Luigi Sabatini No Significant Differences in Clinical and Radiographic Outcomes between PCL Retained or Sacrificed Kinematic Aligned Medial Pivot Total Knee Arthroplasty in Varus Knee Journal of Clinical Medicine total knee replacement TKA PCL retain sacrifice medial pivot |
| title | No Significant Differences in Clinical and Radiographic Outcomes between PCL Retained or Sacrificed Kinematic Aligned Medial Pivot Total Knee Arthroplasty in Varus Knee |
| title_full | No Significant Differences in Clinical and Radiographic Outcomes between PCL Retained or Sacrificed Kinematic Aligned Medial Pivot Total Knee Arthroplasty in Varus Knee |
| title_fullStr | No Significant Differences in Clinical and Radiographic Outcomes between PCL Retained or Sacrificed Kinematic Aligned Medial Pivot Total Knee Arthroplasty in Varus Knee |
| title_full_unstemmed | No Significant Differences in Clinical and Radiographic Outcomes between PCL Retained or Sacrificed Kinematic Aligned Medial Pivot Total Knee Arthroplasty in Varus Knee |
| title_short | No Significant Differences in Clinical and Radiographic Outcomes between PCL Retained or Sacrificed Kinematic Aligned Medial Pivot Total Knee Arthroplasty in Varus Knee |
| title_sort | no significant differences in clinical and radiographic outcomes between pcl retained or sacrificed kinematic aligned medial pivot total knee arthroplasty in varus knee |
| topic | total knee replacement TKA PCL retain sacrifice medial pivot |
| url | https://www.mdpi.com/2077-0383/11/21/6569 |
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