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作 者:Luigi Sabatini Luca Barberis Daniele Camazzola Michele Centola Marcello Capella Alessandro Bistolfi Marco Schiraldi Alessandro Massè
机构地区:[1]Orthopaedics and Traumatology Department,Presidio CTO,Torino 10126,Italy [2]Orthopaedics and Traumatology Department,CTO Hospital,Torino 10126,Italy [3]Orthopedics and Traumaology Department,Michele e Pietro Ferrero Hospital,Verduno 12060,Italy
出 处:《World Journal of Orthopedics》2021年第10期732-742,共11页世界骨科杂志(英文版)
摘 要: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.
关 键 词:Total knee arthroplasty Anterior cruciate ligament Bicruciate retaining Knee kinematics Second generation design Knee osteoarthritis treatment
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