Similar outcome after retention or sacrifice of the posterior cruciate ligament in total knee arthroplasty.

ABSTRACT:

Background and purpose

To retain or to sacrifice the posterior cruciate ligament (PCL) in total knee arthroplasty (TKA) remains a matter of discussion. In this systematic review, we wanted to find differences in functional and clinical outcome between the 2 methods.

Methods

We conducted a systematic review and meta-analysis including all randomized controlled trials (RCTs) and quasi-RCTs that have compared PCL retention with PCL sacrifice in TKA with a minimum of 1-year follow-up. Primary outcome was range of motion. Secondary outcomes were knee pain and clinical scoring systems that were preferably validated. Quality of evidence was graded using the GRADE approach. All outcomes available for data pooling were used for meta-analysis.

Results

20 studies involving 1,877

SUBMITTER: Verra WC 

PROVIDER: S-EPMC4404770 | biostudies-literature | 2015 Apr

REPOSITORIES: biostudies-literature