Temporal changes of tibial eminence after bi-cruciate retaining total knee arthroplasty
Abstract Background Bicruciate-retaining (BCR) prostheses have been introduced to recreate normal knee movements by preserving both the anterior and posterior cruciate ligaments. One of the surgical procedures essential to the success of BCR total knee arthroplasty (TKA) is preservation of the tibia...
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BMC
2025-01-01
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| Series: | BMC Musculoskeletal Disorders |
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| Online Access: | https://doi.org/10.1186/s12891-025-08305-8 |
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| author | Hiroshi Inui Ryota Yamagami Kenichi Kono Kohei Kawaguchi Kazuo Saita Shuji Taketomi Sakae Tanaka |
| author_facet | Hiroshi Inui Ryota Yamagami Kenichi Kono Kohei Kawaguchi Kazuo Saita Shuji Taketomi Sakae Tanaka |
| author_sort | Hiroshi Inui |
| collection | DOAJ |
| description | Abstract Background Bicruciate-retaining (BCR) prostheses have been introduced to recreate normal knee movements by preserving both the anterior and posterior cruciate ligaments. One of the surgical procedures essential to the success of BCR total knee arthroplasty (TKA) is preservation of the tibial eminence. However, in our clinical experience, we found that a well-preserved tibial eminence changed its shape chronologically after the operation. This study aimed to investigate the frequency of chronological changes in the tibial eminence after BCR TKA and its influence on the outcomes. Methods This study included 59 patients with BCR TKA. Radiographs taken at 2 weeks postoperatively and at an average follow-up of 3.2 years were used to assess the tibial eminence. The patients’ demographics, joint component gaps, and clinical scores were compared between the groups with chronological change (P group) and without change (N group). Results The chronological change of the tibial eminence was found in 22 cases (37%). The joint component gaps at extension were larger in P group than in N group. The scores in the symptoms and ADL subscales of the KOOS were significantly higher at 1 year postoperatively in N group than in P group. There were no significant differences between the two groups at the final follow-up. Conclusions Chronological changes in the well-preserved tibial eminence were found in approximately one third of the BCR TKA patients. The mean scores at 1-year postoperatively were lower in the patients with chronological changes in the tibial eminence than in the patients without changes. |
| format | Article |
| id | doaj-art-a10651440fc241f4a185d6ff8e11b9b8 |
| institution | Kabale University |
| issn | 1471-2474 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | BMC |
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| series | BMC Musculoskeletal Disorders |
| spelling | doaj-art-a10651440fc241f4a185d6ff8e11b9b82025-01-19T12:04:37ZengBMCBMC Musculoskeletal Disorders1471-24742025-01-012611810.1186/s12891-025-08305-8Temporal changes of tibial eminence after bi-cruciate retaining total knee arthroplastyHiroshi Inui0Ryota Yamagami1Kenichi Kono2Kohei Kawaguchi3Kazuo Saita4Shuji Taketomi5Sakae Tanaka6Saitama Medical Center, Saitama Medical UniversityDepartment of Orthopaedic Surgery, Faculty of Medicine, The University of TokyoDepartment of Orthopaedic Surgery, Faculty of Medicine, The University of TokyoDepartment of Orthopaedic Surgery, Faculty of Medicine, The University of TokyoSaitama Medical Center, Saitama Medical UniversityDepartment of Orthopaedic Surgery, Faculty of Medicine, The University of TokyoDepartment of Orthopaedic Surgery, Faculty of Medicine, The University of TokyoAbstract Background Bicruciate-retaining (BCR) prostheses have been introduced to recreate normal knee movements by preserving both the anterior and posterior cruciate ligaments. One of the surgical procedures essential to the success of BCR total knee arthroplasty (TKA) is preservation of the tibial eminence. However, in our clinical experience, we found that a well-preserved tibial eminence changed its shape chronologically after the operation. This study aimed to investigate the frequency of chronological changes in the tibial eminence after BCR TKA and its influence on the outcomes. Methods This study included 59 patients with BCR TKA. Radiographs taken at 2 weeks postoperatively and at an average follow-up of 3.2 years were used to assess the tibial eminence. The patients’ demographics, joint component gaps, and clinical scores were compared between the groups with chronological change (P group) and without change (N group). Results The chronological change of the tibial eminence was found in 22 cases (37%). The joint component gaps at extension were larger in P group than in N group. The scores in the symptoms and ADL subscales of the KOOS were significantly higher at 1 year postoperatively in N group than in P group. There were no significant differences between the two groups at the final follow-up. Conclusions Chronological changes in the well-preserved tibial eminence were found in approximately one third of the BCR TKA patients. The mean scores at 1-year postoperatively were lower in the patients with chronological changes in the tibial eminence than in the patients without changes.https://doi.org/10.1186/s12891-025-08305-8Bi-cruciate retaining total knee arthroplastyTibial eminenceChronological changePatient-reported outcomesJoint component gaps |
| spellingShingle | Hiroshi Inui Ryota Yamagami Kenichi Kono Kohei Kawaguchi Kazuo Saita Shuji Taketomi Sakae Tanaka Temporal changes of tibial eminence after bi-cruciate retaining total knee arthroplasty BMC Musculoskeletal Disorders Bi-cruciate retaining total knee arthroplasty Tibial eminence Chronological change Patient-reported outcomes Joint component gaps |
| title | Temporal changes of tibial eminence after bi-cruciate retaining total knee arthroplasty |
| title_full | Temporal changes of tibial eminence after bi-cruciate retaining total knee arthroplasty |
| title_fullStr | Temporal changes of tibial eminence after bi-cruciate retaining total knee arthroplasty |
| title_full_unstemmed | Temporal changes of tibial eminence after bi-cruciate retaining total knee arthroplasty |
| title_short | Temporal changes of tibial eminence after bi-cruciate retaining total knee arthroplasty |
| title_sort | temporal changes of tibial eminence after bi cruciate retaining total knee arthroplasty |
| topic | Bi-cruciate retaining total knee arthroplasty Tibial eminence Chronological change Patient-reported outcomes Joint component gaps |
| url | https://doi.org/10.1186/s12891-025-08305-8 |
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