Academic Journal
Cruciate-Retaining Total Knee Arthroplasty
| العنوان: | Cruciate-Retaining Total Knee Arthroplasty |
|---|---|
| المؤلفون: | Calvisi, Vittorio |
| المصدر: | MODID-6d55e02e354:IntechOpen |
| بيانات النشر: | IntechOpen |
| سنة النشر: | 2018 |
| مصطلحات موضوعية: | Medical / Surgery / Oral & Maxillofacial, bisacsh:MED085020 |
| الوصف: | The debate over the relative merits of substituting or retaining the posterior cruciate ligament (PCL) in total knee arthroplasty is still ongoing. The potential advantages of PCL preservation are a more natural femoral rollback, the presence of a structure critical for the proprioception, the maintenance of a native central stabilizer of the joint, and low shear stress on the bone-cement interface of the tibial component. Numerous retrospective studies of cruciate-retaining (CR) total knee arthroplasties have demonstrated consistently good clinical results and excellent intermediate and long-term survival. The main criticisms of the surgical technique are that the distal attachment of the PCL is vulnerable to injury and that balancing the PCL can be difficult; based on our experience, surgical tricks will be described to avoid the avulsion of the ligament and they will be discussed the main points to consider when you can find a discrepancy between flexion and extension stability. Based on the current evidence, we conclude that with a standardized technique, this type of implant should be preferred even in those cases where the sacrifice of the cruciate ligament seems to be the easiest way. |
| نوع الوثيقة: | article in journal/newspaper |
| وصف الملف: | application/pdf |
| اللغة: | English |
| ردمك: | 978-1-78923-142-7 1-78923-142-6 |
| Relation: | https://openresearchlibrary.org/viewer/d5031da8-ef13-45d4-9ae9-5f5329d7f01d; https://openresearchlibrary.org/ext/api/media/d5031da8-ef13-45d4-9ae9-5f5329d7f01d/assets/external_content.pdf |
| DOI: | 10.5772/intechopen.74024 |
| الاتاحة: | https://openresearchlibrary.org/viewer/d5031da8-ef13-45d4-9ae9-5f5329d7f01d https://openresearchlibrary.org/ext/api/media/d5031da8-ef13-45d4-9ae9-5f5329d7f01d/assets/external_content.pdf https://doi.org/10.5772/intechopen.74024 |
| Rights: | https://creativecommons.org/licenses/by/4.0/legalcode |
| رقم الانضمام: | edsbas.1898EB8E |
| قاعدة البيانات: | BASE |
| ردمك: | 9781789231427 1789231426 |
|---|---|
| DOI: | 10.5772/intechopen.74024 |