Neurobionplus
Home About Journal AHEAD OF PRINT Current Issue Back Issues Instructions Submission Search Subscribe Blog    
Login 

Users Online: 555 
Print this page  Email this page Small font sizeDefault font sizeIncrease font size 
ORIGINAL ARTICLE
Year : 2019  |  Volume : 53  |  Issue : 5  |  Page : 641-645

Bicruciate substituting total knee arthroplasty improves stair climbing ability when compared with cruciate-retain or posterior stabilizing total knee arthroplasty


1 Department of Orthopaedic Surgery, Kamimoku Hot Springs Hospital, Minakami, Japan
2 Department of Orthopaedic Surgery, Nihon University Hospital, Tokyo, Japan

Correspondence Address:
Dr Takanori Iriuchishima
Department of Orthopaedic Surgery, Kamimoku Hot Springs Hospital, 198-2, Minakami, Gunma 378-1311
Japan
Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ortho.IJOrtho_392_18

Rights and Permissions

Purpose: The purpose of this study was to compare stair climbing and descent ability following bicruciate substituting (BCS), cruciate retaining (CR), and posterior stabilizing (PS) total knee arthroplasties (TKAs). Materials and Methods: Sixty-three participants undergoing BCS-TKA (journey II: Smith and Nephew), 47 participants undergoing CR-TKA (FINE: Teijin Nakashima Medical), and 38 participants undergoing PS-TKA (FNK: Teijin Nakashima Medical) were included in this study. Before and 12 months after surgery, a questionnaire was administered to assess daily stair climbing and descent ability. In the questionnaire, stair climbing and descent ability were classified as (1) stair climbing and descent one step at a time, (2) stair climbing and descent two steps at a time, and (3) unable to climb or descend stairs. The necessity of a handrail was also evaluated and classified as: (1) necessary, (2) unnecessary, and (3) unable to climb or descend stairs with handrail. Statistical analysis (χ2-test) was performed to compare these data between the types of TKA. Results: Preoperatively, no significant differences in stair climbing and descent ability or between handrail classifications were observed between the three different TKA groups. Postoperatively, the percentage of patients able to climb stairs one step at a time was significantly higher in BCS-TKA group (89%), when compared with CR (72%) or PS (58%) TKA groups. No significant differences in stair descent ability or among the handrail necessity classifications were observed between the types of TKA. Conclusion: BCS-TKA resulted in significantly better stair climbing ability when compared with CR or PS-TKA. This may indicate that the design of BCS-TKA better reproduces native anterior cruciate ligament and posterior cruciate ligament function and improves knee stability during stair climbing activity.


[FULL TEXT] [PDF]*
Print this article     Email this article
 Next article
 Previous article
 Table of Contents

 Similar in PUBMED
 Related articles
 Citation Manager
 Access Statistics
 Reader Comments
 Email Alert *
 Add to My List *
 * Requires registration (Free)
 

 Article Access Statistics
    Viewed435    
    Printed20    
    Emailed0    
    PDF Downloaded43    
    Comments [Add]    

Recommend this journal