EFFECT OF POSTERIOR CRUCIATE LIGAMENT RETAINING OR NOT ON KNEE-JOINT PROPRIOCEPTION_Chinese Journal of Reparative and Reconstructive Surgery

Authors：

WU Yansheng ¹ , LI Yongsheng ¹ , CHEN Baicheng ²

1Department of Orthopedics, the Hospital of Gucheng County, Gucheng Hebei, 253800, P.R.China;;
2the 1st Department of Joint Surgery, the Third Hospital of Hebei Medical University. Corresponding author: WU Yansheng, E-mail: taozizyx@163.com;

Corresponding author：

Keywords：

Total knee arthroplasty; Posterior cruciate ligament; Proprioception; Osteoarthritis

DOI：

10.7507/1002-1892.20130186

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Objective To analyze the effect of the posterior cruciate ligament (PCL) retaining or not on knee-joint proprioception by comparing the proprioceptive difference between PCL retaining and no PCL retaining in total knee arthroplasty (TKA). Methods Between June 2009 and June 2010, 38 osteoarthritis patients meeting the inclusion criteria were divided into PCL retaining group (group A, n=19) and PCL-substituting group (group B, n=19) according to the random number table. There was no significant difference in gender, age, disease duration, the range of motion of the knee between 2 groups (P gt; 0.05). The effectiveness and the knee-joint proprioception were separately assessed by the Western Ontario and McMaster University Osteoarthritis Index (WOMAC) score and the passive angle reproduction test (30, 60, and 90° of knee flexion) preoperatively and 12 months postoperatively. Results All incisons healed by first intention, without complications of infection, fracture, and deep vein thrombosis of lower limb. The patients were followed up 12-17 months (mean, 14.1 months). The knee function after operation was obviously improved when compared with preoperative one; significant differences were observed in the WOMAC scores and the results of passive angle reproduction test between at preoperation and at 12 months after operation (P lt; 0.05), but no significant difference was found between group A and group B (P gt; 0.05). Conclusion Whether PCL retaining or not in TKA both can improve knee-joint proprioception, and no obvious difference between them.

Citation： WU Yansheng,LI Yongsheng,CHEN Baicheng. EFFECT OF POSTERIOR CRUCIATE LIGAMENT RETAINING OR NOT ON KNEE-JOINT PROPRIOCEPTION. Chinese Journal of Reparative and Reconstructive Surgery, 2013, 27(7): 851-854. doi: 10.7507/1002-1892.20130186 Copy

1.	Yoon HS, Han CD, Yang IH. Comparison of simultaneous bilateral and staged bilateral total knee arthroplasty in terms of perioperative complications. J Arthroplasty, 2010, 25(2): 179-185.
2.	Pap G, Meyer M, Weiler HT, et al. Proprioception after total knee arthroplasty: a comparison with clinical outcome. Acta Orthop Scand, 2000, 71(2): 153-159.
3.	Swanik CB, Lephart SM, Rubash HE. Proprioception, kinesthesia, and balance after total knee arthroplasty with cruciate-retaining and posterior stabilized prostheses. J Bone Joint Surg (Am), 2004, 86-A(2): 328-334.
4.	Lattanzio PJ, Chess DG, MacDermid JC. Effect of the posterior cruciate ligament in knee-joint proprioception in total knee arthroplasty. J Arthroplasty, 1998, 13(5): 580-585.
5.	Barrett DS, Cobb AG, Bentley G. Joint proprioception in normal, osteoarthritic and replaced knees. J Bone Joint Surg (Br), 1991, 73(1): 53-56.
6.	Simmons S, Lephart S, Rubash H, et al. Proprioception following total knee arthroplasty with and without the posterior cruciate ligament. J Arthroplasty, 1996, 11(7): 763-768.
7.	Cash RM, Gonzalez MH, Garst J, et al. Proprioception after athroplasty: role of the posterior curciate ligament. Clin Orthop Relat Res, 1996, (331): 172-178.
8.	Bellamy N, Buchanan WW, Goldsmith CH, et al. Validation study of WOMAC: a health status instrument for measuring clinically important patient relevant outcomes to antirheumatic drug therapy in patients with osteoarthritis of the hip or knee. J Rheumatol, 1988, 15(12): 1833-1840.
9.	谢磊, 陈百成, 王晓峰, 等. 自体及同种异体肌腱重建前交叉韧带术后本体感觉恢复的比较研究. 中国修复重建外科杂志, 2011, 25(8): 907-911.
10.	Maffiuletti NA, Bizzini M, Desbrosses K, et al. Reliability of knee extension and flexion measurements using the Con-Trex isokinetic dynamometer. Clin Physiol Funct Imaging, 2007, 27(6): 346-353.
11.	Duthon VB, Barea C, Abrassart S, et al. Anatomy of the anterior cruciate ligament. Knee Surg Sports Traumatol Arthrosc, 2006, 14(3): 204-213.
12.	Reider B, Arcand MA, Diehl LH, et al. Proprioception of the knee before and after anterior cruciate ligament reconstruction. Arthroscopy, 2003, 19(1): 2-12.
13.	Schultz RA, Miller DC, Kerr CS, et al. Mechanoreceptors in human cruciate ligaments. J Bone Joint Surg (Am), 1984, 66(7): 1072-1076.
14.	Johansson H, Sjölander P, Sojka P. A sensory role for the cruciate ligaments. Clin Orthop Relat Res, 1991, (268): 161-178.
15.	Kleinbart FA, Bryk E, Evangelista J, et al. Histological comparison of posterior cruciate ligaments from arthritic and age-matched knee specimens. J Arthroplasty, 1996, 11(6): 726-731.
16.	Hassan BS, Mockett S, Doherty M. Static postural sway, proprioception, and maximal voluntary quadriceps contraction in patients with knee osteoarthritis and normal control subjects. Ann Rheum Dis, 2001, 60(6): 612-618.
17.	Skinner HB, Wyatt MP, Hodgdon JA, et al. Effect of fatigue on joint position sense of the knee. J Orthop Res, 1986, 4(1): 112-118.
18.	Beard DJ, Dodd CA, Trundle HR, et al. Proprioceotion enhancement for anterior cruciate ligament deficiency. A prospective randomized trial of two physiotherapy regimes. J Bone Joint Surg (Br), 1994, 76(4): 654-659.
19.	李建华, 寿依群, 陈文君. 膝关节本体感觉重建训练对膝骨关节病患者位置觉改变的影响. 中国运动医学杂志, 2003, 22(2): 191-192.
20.	Bastin J, Calvin S, Montagne G. Muscular proprioception contributes to the control of interceptive actions. J Exp Psychol Hum Percept Perform, 2006, 32(4): 964-972.
21.	Hurkmans EJ, van der Esch M, Ostelo RW, et al. Reproducibility of the measurement of knee joint proprioception in patients with osteoarthritis of the knee. Arthritis Rheum, 2007, 57(8): 1398-1403.
22.	Moezy A, Olyaei G, Hadian M, et al. A comparative study of whole body vibration training and conventional training on knee proprioception and postural stability after anterior cruciate ligament reconstruction. Br J Sports Med, 2008, 42(5): 373-378.
23.	Thijs Y, Witvrouw E, Evens B, et al. A prospective study on knee proprioception after meniscal allograft transplantation. Scand J Med Sci Sports, 2007, 17(3): 223-229.

1. Yoon HS, Han CD, Yang IH. Comparison of simultaneous bilateral and staged bilateral total knee arthroplasty in terms of perioperative complications. J Arthroplasty, 2010, 25(2): 179-185.
2. Pap G, Meyer M, Weiler HT, et al. Proprioception after total knee arthroplasty: a comparison with clinical outcome. Acta Orthop Scand, 2000, 71(2): 153-159.
3. Swanik CB, Lephart SM, Rubash HE. Proprioception, kinesthesia, and balance after total knee arthroplasty with cruciate-retaining and posterior stabilized prostheses. J Bone Joint Surg (Am), 2004, 86-A(2): 328-334.
4. Lattanzio PJ, Chess DG, MacDermid JC. Effect of the posterior cruciate ligament in knee-joint proprioception in total knee arthroplasty. J Arthroplasty, 1998, 13(5): 580-585.
5. Barrett DS, Cobb AG, Bentley G. Joint proprioception in normal, osteoarthritic and replaced knees. J Bone Joint Surg (Br), 1991, 73(1): 53-56.
6. Simmons S, Lephart S, Rubash H, et al. Proprioception following total knee arthroplasty with and without the posterior cruciate ligament. J Arthroplasty, 1996, 11(7): 763-768.
7. Cash RM, Gonzalez MH, Garst J, et al. Proprioception after athroplasty: role of the posterior curciate ligament. Clin Orthop Relat Res, 1996, (331): 172-178.
8. Bellamy N, Buchanan WW, Goldsmith CH, et al. Validation study of WOMAC: a health status instrument for measuring clinically important patient relevant outcomes to antirheumatic drug therapy in patients with osteoarthritis of the hip or knee. J Rheumatol, 1988, 15(12): 1833-1840.
9. 谢磊, 陈百成, 王晓峰, 等. 自体及同种异体肌腱重建前交叉韧带术后本体感觉恢复的比较研究. 中国修复重建外科杂志, 2011, 25(8): 907-911.
10. Maffiuletti NA, Bizzini M, Desbrosses K, et al. Reliability of knee extension and flexion measurements using the Con-Trex isokinetic dynamometer. Clin Physiol Funct Imaging, 2007, 27(6): 346-353.
11. Duthon VB, Barea C, Abrassart S, et al. Anatomy of the anterior cruciate ligament. Knee Surg Sports Traumatol Arthrosc, 2006, 14(3): 204-213.
12. Reider B, Arcand MA, Diehl LH, et al. Proprioception of the knee before and after anterior cruciate ligament reconstruction. Arthroscopy, 2003, 19(1): 2-12.
13. Schultz RA, Miller DC, Kerr CS, et al. Mechanoreceptors in human cruciate ligaments. J Bone Joint Surg (Am), 1984, 66(7): 1072-1076.
14. Johansson H, Sjölander P, Sojka P. A sensory role for the cruciate ligaments. Clin Orthop Relat Res, 1991, (268): 161-178.
15. Kleinbart FA, Bryk E, Evangelista J, et al. Histological comparison of posterior cruciate ligaments from arthritic and age-matched knee specimens. J Arthroplasty, 1996, 11(6): 726-731.
16. Hassan BS, Mockett S, Doherty M. Static postural sway, proprioception, and maximal voluntary quadriceps contraction in patients with knee osteoarthritis and normal control subjects. Ann Rheum Dis, 2001, 60(6): 612-618.
17. Skinner HB, Wyatt MP, Hodgdon JA, et al. Effect of fatigue on joint position sense of the knee. J Orthop Res, 1986, 4(1): 112-118.
18. Beard DJ, Dodd CA, Trundle HR, et al. Proprioceotion enhancement for anterior cruciate ligament deficiency. A prospective randomized trial of two physiotherapy regimes. J Bone Joint Surg (Br), 1994, 76(4): 654-659.
19. 李建华, 寿依群, 陈文君. 膝关节本体感觉重建训练对膝骨关节病患者位置觉改变的影响. 中国运动医学杂志, 2003, 22(2): 191-192.
20. Bastin J, Calvin S, Montagne G. Muscular proprioception contributes to the control of interceptive actions. J Exp Psychol Hum Percept Perform, 2006, 32(4): 964-972.
21. Hurkmans EJ, van der Esch M, Ostelo RW, et al. Reproducibility of the measurement of knee joint proprioception in patients with osteoarthritis of the knee. Arthritis Rheum, 2007, 57(8): 1398-1403.
22. Moezy A, Olyaei G, Hadian M, et al. A comparative study of whole body vibration training and conventional training on knee proprioception and postural stability after anterior cruciate ligament reconstruction. Br J Sports Med, 2008, 42(5): 373-378.
23. Thijs Y, Witvrouw E, Evens B, et al. A prospective study on knee proprioception after meniscal allograft transplantation. Scand J Med Sci Sports, 2007, 17(3): 223-229.

Chinese Journal of Reparative and Reconstructive Surgery

EFFECT OF POSTERIOR CRUCIATE LIGAMENT RETAINING OR NOT ON KNEE-JOINT PROPRIOCEPTION

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