{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,4]],"date-time":"2026-08-04T03:54:09Z","timestamp":1785815649104,"version":"3.56.0"},"reference-count":10,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2021,5,7]],"date-time":"2021-05-07T00:00:00Z","timestamp":1620345600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2021,5,7]],"date-time":"2021-05-07T00:00:00Z","timestamp":1620345600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["J Orthop Surg Res"],"published-print":{"date-parts":[[2021,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n                <jats:title>Objective<\/jats:title>\n                <jats:p>To analyze the effect of sacrificing the posterior cruciate ligament (PCL) on the early postoperative outcome of cruciate retaining (CR) highly congruent rotating platform TKA.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Methods<\/jats:title>\n                <jats:p>From May 2018 to September 2019, 105 cases of total knee arthroplasty (TKA) with CR highly congruent rotating platform prosthesis were retrospectively analyzed. According to the tension of posterior cruciate ligament, they were divided into sacrifice group (29 cases, 27.6%) and retention group (76 cases, 72.4%). Preoperative and postoperative The Hospital for Special Surgery (HSS) score, range of motion (ROM) were compared between the two groups. In addition, postoperative infection, prosthesis loosening, bearing dislocation, and other complications were also compared.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Results<\/jats:title>\n                <jats:p>All patients were followed up for 11~24 months (mean 18.14 \u00b1 3.52) months. There was no significant difference in general data, preoperative HSS score, and ROM between the two groups (<jats:italic>P<\/jats:italic> &gt; 0.05). At the last follow-up, HSS score and ROM of the two groups were better than those before operation (<jats:italic>P<\/jats:italic> &lt; 0.05). However, there was no significant difference between the two groups (<jats:italic>P<\/jats:italic> &gt; 0.05). Moreover, there were no complications such as infection, loosening of prosthesis, and bearing dislocation in all cases.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusion<\/jats:title>\n                <jats:p>In CR, highly congruent rotating platform TKA with or without tension of the PCL can achieve satisfactory outcomes. Tension-free PCL do not cause joint instability.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1186\/s13018-021-02433-2","type":"journal-article","created":{"date-parts":[[2021,5,7]],"date-time":"2021-05-07T07:03:10Z","timestamp":1620370990000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["The effect of sacrificing the posterior cruciate ligament on total knee arthroplasty with cruciate retaining highly congruent rotating platform prosthesis"],"prefix":"10.1186","volume":"16","author":[{"given":"Long","family":"Chen","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jie","family":"Xu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yuan","family":"Lin","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fen Qi","family":"Luo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yu Guo","family":"Yu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2021,5,7]]},"reference":[{"issue":"1","key":"2433_CR1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0147865","volume":"11","author":"C Jiang","year":"2016","unstructured":"Jiang C, Liu Z, Wang Y, Bian Y, Feng B, Weng X. Posterior cruciate ligament retention versus posterior stabilization for total knee arthroplasty: a meta-analysis. PLoS One. 2016;11(1):e0147865. https:\/\/doi.org\/10.1371\/journal.pone.0147865.","journal-title":"PLoS One."},{"issue":"2","key":"2433_CR2","doi-asserted-by":"publisher","first-page":"286","DOI":"10.1016\/j.arth.2018.10.006","volume":"34","author":"BM Stronach","year":"2019","unstructured":"Stronach BM, Adams JC, Jones LC, Farrell SM, Hydrick JM. The effect of sacrificing the posterior c ligament in total knee arthroplasties that use a highly congruent polyethylene component. J Arthroplasty. 2019;34(2):286\u20139. https:\/\/doi.org\/10.1016\/j.arth.2018.10.006.","journal-title":"J Arthroplasty."},{"issue":"1","key":"2433_CR3","doi-asserted-by":"publisher","first-page":"277","DOI":"10.1016\/j.arth.2017.08.025","volume":"33","author":"GS Kazarian","year":"2018","unstructured":"Kazarian GS, Siow MY, Chen AF, Deirmengian CA. Comparison of quadriceps-sparing and medial parapatellar approaches in total knee arthroplasty: a meta-analysis of randomized controlled trials. J Arthroplasty. 2018;33(1):277\u201383. https:\/\/doi.org\/10.1016\/j.arth.2017.08.025.","journal-title":"J Arthroplasty."},{"key":"2433_CR4","doi-asserted-by":"publisher","unstructured":"Lynch JT, Scarvell JM, Galvin CR, et al. Influence of component design on in vivo tibiofemoral contact patterns during kneeling after total knee arthroplasty: a systematic review and meta-analysis. Knee Surg Sports Traumatol Arthrosc. 2020;29:446-66. https:\/\/doi.org\/10.1007\/s00167-020-05949-y.","DOI":"10.1007\/s00167-020-05949-y"},{"issue":"1","key":"2433_CR5","doi-asserted-by":"publisher","first-page":"22","DOI":"10.1046\/j.1525-1594.2001.025001022.x","volume":"25","author":"M Wada","year":"2001","unstructured":"Wada M, Tatsuo H, Kawahara H, Sato M, Baba H. In vivo kinematic analysis of total knee arthroplasty with four different polyethylene designs. Artif Organs. 2001;25(1):22\u20138. https:\/\/doi.org\/10.1046\/j.1525-1594.2001.025001022.x.","journal-title":"Artif Organs."},{"issue":"4","key":"2433_CR6","doi-asserted-by":"publisher","first-page":"260","DOI":"10.1016\/j.knee.2011.04.001","volume":"19","author":"K Daniilidis","year":"2012","unstructured":"Daniilidis K, Skwara A, Vieth V, Fuchs-Winkelmann S, Heindel W, Stuckmann V, et al. Highly conforming polyethylene inlays reduce the in vivo variability of knee joint kinematics after total knee arthroplasty. Knee. 2012;19(4):260\u20135. https:\/\/doi.org\/10.1016\/j.knee.2011.04.001.","journal-title":"Knee."},{"issue":"7","key":"2433_CR7","doi-asserted-by":"publisher","first-page":"1012","DOI":"10.1016\/j.arth.2005.06.018","volume":"21","author":"SS Sathappan","year":"2006","unstructured":"Sathappan SS, Wasserman B, Jaffe WL, Bong M, Walsh M, Di Cesare PE. Midterm results of primary total knee arthroplasty using a dished polyethylene insert with a recessed or resected posterior cruciate ligament. J Arthroplasty. 2006;21(7):1012\u20136. https:\/\/doi.org\/10.1016\/j.arth.2005.06.018.","journal-title":"J Arthroplasty."},{"issue":"1","key":"2433_CR8","doi-asserted-by":"publisher","first-page":"175","DOI":"10.1007\/s11999-013-3068-6","volume":"472","author":"CL Peters","year":"2014","unstructured":"Peters CL, Mulkey P, Erickson J, Anderson MB, Pelt CE. Comparison of total knee arthroplasty with highly congruent anterior-stabilized bearings versus a cruciate-retaining design. Clin Orthop Relat Res. 2014;472(1):175\u201380. https:\/\/doi.org\/10.1007\/s11999-013-3068-6.","journal-title":"Clin Orthop Relat Res."},{"issue":"2","key":"2433_CR9","doi-asserted-by":"publisher","first-page":"70","DOI":"10.5606\/ehc.2019.62830","volume":"30","author":"M Lacko","year":"2019","unstructured":"Lacko M, Schreierova D. Comparison of survival rate and risk of revision for mobile-bearing and fixed-bearing total knee replacements. Eklem Hastalik Cerrahisi. 2019;30(2):70\u20138. https:\/\/doi.org\/10.5606\/ehc.2019.62830.","journal-title":"Eklem Hastalik Cerrahisi."},{"issue":"6","key":"2433_CR10","doi-asserted-by":"publisher","first-page":"1622","DOI":"10.1007\/s00167-014-2889-5","volume":"23","author":"I Akkawi","year":"2015","unstructured":"Akkawi I, Colle F, Bruni D, Raspugli GF, Bignozzi S, Zaffagnini S, et al. Deep-dished highly congruent tibial insert in CR-TKA does not prevent patellar tendon angle increase and patellar anterior translation. Knee Surg Sports Traumatol Arthrosc. 2015;23(6):1622\u201330. https:\/\/doi.org\/10.1007\/s00167-014-2889-5.","journal-title":"Knee Surg Sports Traumatol Arthrosc."}],"container-title":["Journal of Orthopaedic Surgery and Research"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s13018-021-02433-2.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1186\/s13018-021-02433-2\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s13018-021-02433-2.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,5,7]],"date-time":"2021-05-07T07:15:35Z","timestamp":1620371735000},"score":1,"resource":{"primary":{"URL":"https:\/\/josr-online.biomedcentral.com\/articles\/10.1186\/s13018-021-02433-2"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,5,7]]},"references-count":10,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2021,12]]}},"alternative-id":["2433"],"URL":"https:\/\/doi.org\/10.1186\/s13018-021-02433-2","relation":{},"ISSN":["1749-799X"],"issn-type":[{"value":"1749-799X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,5,7]]},"assertion":[{"value":"21 March 2021","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"20 April 2021","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"7 May 2021","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"The ethics committee of Fujian Provincial Hospital approved this project (2017-09-01-12), and all the participants had written the informed consent.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"All authors agree to publish in this journal.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"There is no conflict of interest regarding the publication of this paper.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"299"}}