Primary total knee arthroplasty(TKA)is a widespread procedure to address end stage osteoarthritis with good results,clinical outcomes,and long-term survivorship.Although it is frequently performed in elderly,an increa...Primary total knee arthroplasty(TKA)is a widespread procedure to address end stage osteoarthritis with good results,clinical outcomes,and long-term survivorship.Although it is frequently performed in elderly,an increased demand in young and active people is expected in the next years.However,a considerable dissatisfaction rate has been reported by highly demanding patients due to the intrinsic limitations provided by the TKA.Bicruciate-retaining(BCR)TKA was developed to mimic knee biomechanics,through anterior cruciate ligament preservation.First-generation BCR TKA has not gained popularity due to its being a challenging technique and having poor survival outcomes.Thanks to implant design improvement and surgeon-friendly instrumentation,secondgeneration BCR TKA has seen renewed interest.This review will focus on surgical indications,kinematical basis,clinical results and latest developments of secondgeneration BCR TKA.展开更多
A cruciate ligament avulsion is a much less common form of injury than a cruciate ligament tear.Simultaneous tibial avulsion fractures of both cruciate ligaments occur even more rarely.Over the last decades,many studi...A cruciate ligament avulsion is a much less common form of injury than a cruciate ligament tear.Simultaneous tibial avulsion fractures of both cruciate ligaments occur even more rarely.Over the last decades,many studies have described arthroscopic fixation of acute cruciate tibial avulsion fractures,but arthroscopic treatment in a late presenting patient has not been reported in the literature.This case report presents a 32-year-old female with a chronic tibial avulsion fracture of both anterior cruciate ligament and posterior cruciate ligament.Simultaneous fixation of both fractures was performed arthroscopically at week four post-injury.At one year of follow-up,the patient had demonstrated full knee range of motion and stable knee with no complaints,and achieved excellent clinical outcomes.Radiographs showed union of both fractures,and the patient had resumed high-impact exercises.展开更多
文摘Primary total knee arthroplasty(TKA)is a widespread procedure to address end stage osteoarthritis with good results,clinical outcomes,and long-term survivorship.Although it is frequently performed in elderly,an increased demand in young and active people is expected in the next years.However,a considerable dissatisfaction rate has been reported by highly demanding patients due to the intrinsic limitations provided by the TKA.Bicruciate-retaining(BCR)TKA was developed to mimic knee biomechanics,through anterior cruciate ligament preservation.First-generation BCR TKA has not gained popularity due to its being a challenging technique and having poor survival outcomes.Thanks to implant design improvement and surgeon-friendly instrumentation,secondgeneration BCR TKA has seen renewed interest.This review will focus on surgical indications,kinematical basis,clinical results and latest developments of secondgeneration BCR TKA.
文摘A cruciate ligament avulsion is a much less common form of injury than a cruciate ligament tear.Simultaneous tibial avulsion fractures of both cruciate ligaments occur even more rarely.Over the last decades,many studies have described arthroscopic fixation of acute cruciate tibial avulsion fractures,but arthroscopic treatment in a late presenting patient has not been reported in the literature.This case report presents a 32-year-old female with a chronic tibial avulsion fracture of both anterior cruciate ligament and posterior cruciate ligament.Simultaneous fixation of both fractures was performed arthroscopically at week four post-injury.At one year of follow-up,the patient had demonstrated full knee range of motion and stable knee with no complaints,and achieved excellent clinical outcomes.Radiographs showed union of both fractures,and the patient had resumed high-impact exercises.
