{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T11:20:46Z","timestamp":1788261646638,"version":"build-2803163510"},"reference-count":22,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2026,1,21]],"date-time":"2026-01-21T00:00:00Z","timestamp":1768953600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,1,21]],"date-time":"2026-01-21T00:00:00Z","timestamp":1768953600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["esskajournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Knee surg. sports traumatol. arthrosc."],"published-print":{"date-parts":[[2026,9]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>bi\u2010cruciate retaining total knee arthroplasty (BCR\u2010TKA) is recognised as an alternative to a Cruciate Retaining Total Knee Arthroplasty (CR\u2010TKA) in the pursuit of reducing joint awareness and approaching a \u2018forgotten artificial knee joint\u2019. The aim of this retrospective cohort study was to provide a short\u2010term comparison on functional and clinical outcomes between BCR\u2010TKA and CR\u2010TKA in osteoarthritis patients.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>The cohort consisted of 61 BCR\u2010TKA patients, matched for age, BMI and sex with 61 CR\u2010TKA patients. They were operated on between 2014 and 2016. Patient\u2010Reported Outcome Measurements, including the Forgotten Joint Score (FJS\u201012), Oxford Knee Score (OKS), Western Ontario and McMaster Osteoarthritis (WOMAC) and Visual Analogue Score (VAS) pain, were collected preoperatively and at 3\u2010, 12\u2010, 24\u2010months and 5\u2010years postoperatively. Additionally, domain\u2010specific questionnaires were included, such as the FJS. Effect size for the FJS\u201012 was calculated at the 3\u2010year follow\u2010up to quantify the difference between BCR\u2010 and CR\u2010TKA. Functional performance was additionally evaluated using a validated balance\u2010based exergaming system, consisting of a pressure\u2010sensitive balance platform delivering real\u2010time visual feedback to quantify dynamic stability.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      At 5\u2010year follow\u2010up, BCR\u2010TKA showed significantly better patient\u2010reported outcome measures (PROMs) than CR\u2010TKA, including joint awareness, stiffness, function, pain and daily activity\u2010related disabilities (FJS\u201012, OKS, WOMAC, VAS pain). In the subgroup completing exergaming assessment, BCR\u2010TKA demonstrated superior dynamic stability (71.91% vs. 66.90%,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.021). The 5\u2010year survival rate was 98.4% for BCR\u2010TKA and 95.1% for CR\u2010TKA, with no significant difference in revision rates.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>BCR\u2010TKA resulted in superior midterm joint awareness and functional outcomes compared to the CR\u2010TKA. Additionally, objective data collected through exergaming demonstrated a positive trend in favour of BCR\u2010TKA, further supporting its functional benefits. This study illustrates that the bi\u2010cruciate retaining surgical technique for TKA is a promising step toward reducing joint awareness and achieving the \u2018forgotten\u2019 artificial knee. As ACL preservation may enhance rotational stability and proprioception, future research should incorporate high\u2010resolution kinematic analyses such as 3D gait analysis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence<\/jats:title>\n                    <jats:p>Level III, therapeutic, retrospective cohort study.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/ksa.70287","type":"journal-article","created":{"date-parts":[[2026,1,22]],"date-time":"2026-01-22T07:00:42Z","timestamp":1769065242000},"page":"3399-3405","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Excellent midterm functional and clinical outcomes of bi\u2010cruciate retaining versus cruciate retaining total knee arthroplasty: A prospective cohort study"],"prefix":"10.1002","volume":"34","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3840-0718","authenticated-orcid":false,"given":"Soufyan","family":"Kalaai","sequence":"first","affiliation":[{"name":"Department of Orthopaedic Surgery and Traumatology Zuyderland Medical Center location Sittard\u2010Geleen the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bert","family":"Boonen","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery and Traumatology Zuyderland Medical Center location Sittard\u2010Geleen the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emiel H.","family":"van Haaren","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery and Traumatology Zuyderland Medical Center location Sittard\u2010Geleen the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rob P. A.","family":"De Bie","sequence":"additional","affiliation":[{"name":"School of Care and Public Health Research Institute, Faculty of Health, Medicine &amp; Life Sciences Maastricht University Medical Maastricht the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jasper","family":"Most","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery and Traumatology Zuyderland Medical Center location Sittard\u2010Geleen the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Martijn G. M.","family":"Schotanus","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery and Traumatology Zuyderland Medical Center location Sittard\u2010Geleen the Netherlands"},{"name":"School of Care and Public Health Research Institute, Faculty of Health, Medicine &amp; Life Sciences Maastricht University Medical Maastricht the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,1,21]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"publisher","DOI":"10.1017\/dmp.2020.388"},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.arth.2018.03.026"},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00402-020-03622-0"},{"key":"e_1_2_12_5_1","doi-asserted-by":"publisher","DOI":"10.1097\/MRR.0000000000000190"},{"key":"e_1_2_12_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.gaitpost.2013.09.018"},{"key":"e_1_2_12_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(11)60752-6"},{"key":"e_1_2_12_8_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11999-016-4812-5"},{"key":"e_1_2_12_9_1","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-199905000-00011"},{"key":"e_1_2_12_10_1","doi-asserted-by":"publisher","DOI":"10.4055\/cios22268"},{"key":"e_1_2_12_11_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12891-025-08305-8"},{"key":"e_1_2_12_12_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00167-019-05613-0"},{"key":"e_1_2_12_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcot.2021.04.022"},{"key":"e_1_2_12_14_1","doi-asserted-by":"publisher","DOI":"10.1186\/1743-0003-11-136"},{"key":"e_1_2_12_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.clinbiomech.2013.08.008"},{"key":"e_1_2_12_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.artd.2016.11.004"},{"key":"e_1_2_12_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.arth.2019.04.030"},{"key":"e_1_2_12_18_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00402-022-04597-w"},{"key":"e_1_2_12_19_1","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.105B1.BJJ-2022-0465.R2"},{"issue":"15","key":"e_1_2_12_20_1","first-page":"3289","article-title":"Early clinical and radiographic outcomes of a new bicruciate\u2010retaining total knee arthroplasty design","volume":"10","author":"Sabatini L","year":"2021","journal-title":"J Clin Med"},{"key":"e_1_2_12_21_1","doi-asserted-by":"publisher","DOI":"10.5312\/wjo.v12.i10.732"},{"key":"e_1_2_12_22_1","doi-asserted-by":"publisher","DOI":"10.1097\/CORR.0000000000001077"},{"key":"e_1_2_12_23_1","doi-asserted-by":"publisher","DOI":"10.3390\/app122110721"}],"container-title":["Knee Surgery, Sports Traumatology, Arthroscopy"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/esskajournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ksa.70287","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/esskajournals.onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/ksa.70287","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/esskajournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ksa.70287","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T11:11:06Z","timestamp":1788261066000},"score":1,"resource":{"primary":{"URL":"https:\/\/esskajournals.onlinelibrary.wiley.com\/doi\/10.1002\/ksa.70287"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,1,21]]},"references-count":22,"journal-issue":{"issue":"9","published-print":{"date-parts":[[2026,9]]}},"alternative-id":["10.1002\/ksa.70287"],"URL":"https:\/\/doi.org\/10.1002\/ksa.70287","archive":["Portico"],"relation":{},"ISSN":["0942-2056","1433-7347"],"issn-type":[{"value":"0942-2056","type":"print"},{"value":"1433-7347","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,1,21]]},"assertion":[{"value":"2025-09-09","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-12-10","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-01-21","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}