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Modern Total Knee Arthroplasty Bearing Designs and the Role of the Posterior Cruciate Ligament.


ABSTRACT: The role of the posterior cruciate ligament (PCL) in total knee arthroplasty (TKA) surgery continues to be a source of debate among the adult reconstruction community. In native knee flexion, the PCL is comprised of an anterolateral and posteromedial bundle that work together to limit posterior tibial translation and allow adequate femoral rollback for deep flexion. In the arthritic knee, the PCL can often become dysfunctional and attenuated, which led to the development of posterior stabilized (PS) TKA bearing options. PS TKAs implement a cam-post construct to functionally replace a resected PCL. While PS designs may facilitate balancing knees with significant deformity, they are associated with complications such as postfracture, increased wear, and patellar clunk/crepitus. In recent yea

SUBMITTER: Movassaghi K 

PROVIDER: S-EPMC10160699 | biostudies-literature | 2023 Jun

REPOSITORIES: biostudies-literature