Universität zu Köln

De Faoite, Diarmuid, Ries, Christian, Foster, Michelle and Boese, Christoph Kolja (2020). Indications for bi-cruciate retaining total knee replacement: An international survey of 346 knee surgeons. PLoS One, 15 (6). SAN FRANCISCO: PUBLIC LIBRARY SCIENCE. ISSN 1932-6203

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Abstract

There is limited evidence on total knee arthroplasty (TKA) that retains the anterior and the posterior cruciate ligaments. Bi-cruciate retaining (BCR) TKA is considered to show improved clinical function and kinematics. This survey aimed to (1) identify interest in and acceptance of BCR TKA surgery and (2) to capture the range of indications for BCR in the opinion of practicing knee surgeons. 346 surgeons with experience in TKA surgery completed a bi-lingual online survey. Demographics, arthroplasty experience as well as acceptance of and indications for BCR TKA were collected. 53 surgeons were experienced in BCR TKA and 225 would consider implanting it. A mean of 19.5% of TKA patients were considered eligible for BCR TKA. 56.3% were thought to have intact ACL at the time of TKA surgery. Surgeons were not likely to perform BCR TKA in patients with inflammatory arthritis, aged over 80, BMI above 34.9 kg/m(2), a varus or valgus deformity of more than 10 degrees and flexion contractures of more than 10 degrees. There is strong interest among orthopedic surgeons to perform BCR TKA and the percentage of potentially eligible patients is high. Significant joint deformity is a limitation of BCR TKA, while age and high BMI are less relevant. BCR TKA experienced surgeons are less restrictive.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code De Faoite, Diarmuid UNSPECIFIED UNSPECIFIED UNSPECIFIED Ries, Christian UNSPECIFIED UNSPECIFIED UNSPECIFIED Foster, Michelle UNSPECIFIED UNSPECIFIED UNSPECIFIED Boese, Christoph Kolja UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-329924
DOI:	10.1371/journal.pone.0234616
Journal or Publication Title:	PLoS One
Volume:	15
Number:	6
Date:	2020
Publisher:	PUBLIC LIBRARY SCIENCE
Place of Publication:	SAN FRANCISCO
ISSN:	1932-6203
Language:	English
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language ARTHROPLASTY; LIGAMENTS; RETENTION Multiple languages Multidisciplinary Sciences Multiple languages
URI:	http://kups.ub.uni-koeln.de/id/eprint/32992