후방십자인대 보존형 슬관절 전치환술
Posterior Cruciate Ligament Retaining Total Knee Arthroplasty
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초록
The posterior cruciate ligament (PCL) is a central stabilizer of the knee joint and it contributes to anteroposterior, valgus/varus and rotational stability. The PCL guides femoral rollback if it is preserved with proper tension during total knee arthroplasty. Maintenance of the joint line position, more conservation of bone and the possibility of reduced wear by absorption of shear forces are the potential advantages of posterior cruciate ligament retention. But an overly tensioned PCL increases polyethylene wear and on the other hand a lax PCL induces paradoxical femoral rollback and instability during knee flexion. So careful attention is needed in order to achieve the proper tension of the PCL during total knee arthroplasty, and sacrificing the PCL is considered in cases of severe deformity of the knee joint or progressive rheumatoid arthritis.
Abstract
The posterior cruciate ligament (PCL) is a central stabilizer of the knee joint and it contributes to anteroposterior, valgus/varus and rotational stability. The PCL guides femoral rollback if it is preserved with proper tension during total knee arthroplasty. Maintenance of the joint line position, more conservation of bone and the possibility of reduced wear by absorption of shear forces are the potential advantages of posterior cruciate ligament retention. But an overly tensioned PCL increases polyethylene wear and on the other hand a lax PCL induces paradoxical femoral rollback and instability during knee flexion. So careful attention is needed in order to achieve the proper tension of the PCL during total knee arthroplasty, and sacrificing the PCL is considered in cases of severe deformity of the knee joint or progressive rheumatoid arthritis.
참고문헌 (26)
- Andriacchi TP, "The influence of total knee-replacement design on walking and stair-climbing", J Bone Joint Surg Am, 64, pp.1328~1335 (1982)
- Arabori M, "Posterior condylar offset and flexion in posterior cruciate-retaining and posterior stabilized TKA", Orthop Sci, 13, pp.46~50 (2008)
- Archibeck MJ, "Rosenberg AG, Galante JO: Posterior cruciate ligament-retaining total knee arthroplasty in patients with rheumatoid arthritis", J Bone Joint Surg Am, 83, pp.1231~1236 (2001)
- Banks SA, "In vivo kinematics of cruciate-retaining and -substituting knee arthroplasties", J Arthroplasty, 12, pp.297~304 (1997)
- Bellemans J, "Fluoroscopic analysis of the kinematics of deep flexion in total knee arthroplasty. Influence of posterior condylar offset", J Bone Joint Surg Br, 84, pp.50~53 (2002)
- Bertin KC, "In vivo determination of posterior femoral rollback for subjects having a NexGen posterior cruciate-retaining total knee arthroplasty", J Arthroplasty, 17, pp.1040~1048 (2002)
- Blaha JD, "The rationale for a total knee implant that confers anteroposterior stability throughout range of motion", J Arthroplasty, 19(4), pp.S22~S26 (2004)
- Callaghan JJ, "Tibial post impingement in posterior-stabilized total knee arthroplasty", Clin Orthop Relat Res, (404), pp.83~88 (2002)
- Cash RM, "Proprioception after arthroplasty: role of the posterior cruciate ligament", Clin Orthop Relat Res, (331), pp.172~178 (1996)
- Chmell MJ, "Total knee arthroplasty in patients with rheumatoid arthritis", An overview. Clin Orthop Relat Res, 366, pp.54~60 (1999)
- Conditt MA, "The PCL significantly affects the functional outcome of total knee arthroplasty", J Arthroplasty, 19(7), pp.S107~S112 (2004)
- Dennis DA, "In vivo anteroposterior femorotibial translation of total knee arthroplasty: a multicenter analysis", Clin Orthop Relat Res, (356), pp.47~57 (1998)
- Dennis DA, "In vivo fluoroscopic analysis of fixed-bearing total knee replacements", Clin Orthop Relat Res, (410), pp.114~130 (2003)
- Dennis DA, "Range of motion after total knee arthroplasty: the effect of implant design and weight-bearing conditions", J Arthroplasty, 13, pp.748~752 (1998)
- Dennis DA, "Femoral condylar lift-off in vivo in total knee arthroplasty", J Bone Joint Surg Br, 83, pp.33~39 (2001)
- Emodi GJ, "Posterior cruciate ligament function following total knee arthroplasty: the effect of joint line elevation", Iowa Orthop J, 19, pp.82~92 (1999)
- .Girgis FG, "The cruciate ligaments of the knee joint. Anatomical, functional and experimental analysis", Clin Orthop Relat Res, (106), pp.216~231 (1975)
- Hanratty BM, "The influence of posterior condylar offset on knee flexion after total knee replacement using a cruciate- sacrificing mobile-bearing implant", J Bone Joint Surg Br, 89, pp.915~918 (2007)
- Huang CH, "Muscle strength after successful total knee replacement: a 6- to 13-year followup", Clin Orthop Relat Res, (328), pp.147~154 (1996)
- Komistek RD, "In vivo comparison of femorotibial contact positions for press-fit posterior stabilized and posterior cruciate-retaining total knee arthroplasties", J Arthroplasty, 17, pp.209~216 (2002)
- Laskin RS, "The Insall Award. Total knee replacement with posterior cruciate ligament retention in rheumatoid arthritis. Problems and complications", Clin Orthop Relat Res, (345), pp.24~28 (1997)
- Puloski SK, "Tibial post wear in posterior stabilized total knee arthroplasty. An unrecognized source of polyethylene debris", J Bone Joint Surg Am, 83, pp.390~397 (2001)
- Rodriguez JA, "Long-term results of total knee arthroplasty in class 3 and 4 rheumatoid arthritis", J Arthroplasty, 11, pp.141~145 (1996)
- Simmons S, "Proprioception following total knee arthroplasty with and without the posterior cruciate ligament", J Arthroplasty, 11, pp.763~768 (1996)
- Swanik CB, "Proprioception, kinesthesia, and balance after total knee arthroplasty with cruciate-retaining and posterior stabilized prostheses", J Bone Joint Surg Am, 86, pp.328~334 (2004)
- Warren PJ, "Proprioception after knee arthroplasty. The influence of prosthetic design", Clin Orthop Relat Res, (297), pp.182~187 (1993)