{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T16:35:31Z","timestamp":1753893331188,"version":"3.41.2"},"reference-count":30,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2025,5,6]],"date-time":"2025-05-06T00:00:00Z","timestamp":1746489600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Surg."],"abstract":"<jats:sec><jats:title>Objective<\/jats:title><jats:p>To compare the early clinical outcomes of posterior cruciate ligament-retaining (CR) and posterior stabilized (PS) knee prostheses in total knee arthroplasty for patients with rheumatoid arthritis.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A retrospective analysis was conducted on 74 patients with rheumatoid arthritis (RA) who underwent unilateral total knee arthroplasty (TKA) from January 2021 to December 2022. Among these, 39 patients received CR prostheses (CR group), while 35 received PS prostheses (PS group). Data on operation time, intraoperative blood loss, hospital stay, preoperative and postoperative Visual Analogue Scale (VAS) scores, American Knee Society Score (AKSS), Functional Joint Score-12 (FJS-12) scores, Health Assessment Questionnaire scores (HAQ) and postoperative complications were recorded and compared between the two groups.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>All 74 patients successfully completed the surgery without complications. The average operation time for the CR group was shorter than that of the PS group, with no statistically significant differences in intraoperative blood loss or hospital stay. Both groups showed improved postoperative AKSS scores, VAS scores, and HAQ Scores compared to preoperative levels. Between-group comparisons showed no statistical differences in postoperative AKSS, VAS, HAQ scores. However, the CR group had significantly higher FJS-12 scores at 6 and 12 months postoperatively compared to the PS group.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Both CR and PS prostheses can achieve good clinical outcomes in TKA for RA patients. Compared to PS prostheses, CR prostheses may provide better knee proprioception postoperatively, as indicated by higher FJS-12 scores at 6 and 12 months postoperatively.<\/jats:p><\/jats:sec>","DOI":"10.3389\/fsurg.2025.1522588","type":"journal-article","created":{"date-parts":[[2025,5,6]],"date-time":"2025-05-06T05:26:34Z","timestamp":1746509194000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Comparison of early clinical outcomes between CR and PS prostheses in total knee arthroplasty for rheumatoid arthritis patients - a retrospective cross-sectional study"],"prefix":"10.3389","volume":"12","author":[{"given":"Haoyuan","family":"Ding","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dapeng","family":"Han","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nanshan","family":"Ma","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chenxin","family":"Gao","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jie","family":"Yao","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Guilin","family":"Ouyang","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1965","published-online":{"date-parts":[[2025,5,6]]},"reference":[{"key":"B1","doi-asserted-by":"publisher","first-page":"e594","DOI":"10.1016\/S2665-9913(23)00211-4","article-title":"Global, regional, and national burden of rheumatoid arthritis, 1990\u20132020, and projections to 2050: a systematic analysis of the global burden of disease study 2021","volume":"5","author":"Black","year":"2023","journal-title":"Lancet Rheumatol"},{"key":"B2","first-page":"1","article-title":"The tenth annual report of the AJRR on hip and knee arthroplasty","year":"2023","journal-title":"Am Acad Orthopaedic Surgeeons"},{"key":"B3","doi-asserted-by":"publisher","first-page":"30","DOI":"10.1016\/j.semarthrit.2019.06.007","article-title":"Risk of medical complications following total hip or knee arthroplasty in patients with rheumatoid arthritis: a register-based cohort study from Denmark","volume":"50","author":"Cordtz","year":"2020","journal-title":"Semin Arthritis Rheum"},{"key":"B4","doi-asserted-by":"publisher","first-page":"414","DOI":"10.1016\/j.jos.2021.01.014","article-title":"Long-term outcomes and duration of outdoor ambulation following primary total knee arthroplasty in patients with rheumatoid arthritis","volume":"27","author":"Yamashita","year":"2022","journal-title":"J Orthop Sci"},{"key":"B5","doi-asserted-by":"publisher","first-page":"1676","DOI":"10.1016\/j.arth.2022.05.043","article-title":"2022 American college of rheumatology\/American association of hip and knee surgeons guideline for the perioperative management of antirheumatic medication in patients with rheumatic diseases undergoing elective total hip or total knee arthroplasty","volume":"37","author":"Goodman","year":"2022","journal-title":"J Arthroplasty"},{"key":"B6","first-page":"137","article-title":"Comparison between clinical, magnetic resonance imaging, and arthroscopic findings in meniscal and cruciate ligament injuries: a cross-sectional study","volume":"19","author":"Predeep Kumar","year":"2022"},{"key":"B7","doi-asserted-by":"publisher","first-page":"365","DOI":"10.1186\/s12891-023-06480-0","article-title":"Clinical, patient-reported, radiographic and magnetic resonance imaging findings 11 years after acute posterior cruciate ligament injury treated non-surgically","volume":"24","author":"Brown","year":"2023","journal-title":"BMC Musculoskelet Disord"},{"key":"B8","doi-asserted-by":"publisher","first-page":"e13160","DOI":"10.7759\/cureus.13160","article-title":"Evaluating posterior cruciate ligament integrity in inflammatory arthritis patients prescribed biologic agents: a radiological case-control study","volume":"13","author":"Nolan","year":"2021","journal-title":"Cureus"},{"key":"B9","article-title":"Rasch analysis suggests that health assessment questionnaire II is a generic measure of physical functioning for rheumatic diseases: a cross-sectional study","volume":"16","author":"Taylor","year":"2018"},{"key":"B10","doi-asserted-by":"publisher","first-page":"1454","DOI":"10.1007\/s00167-016-4357-x","article-title":"Joint awareness after ACL reconstruction: patient-reported outcomes measured with the forgotten joint score-12","volume":"25","author":"Behrend","year":"2017","journal-title":"Knee Surg Sports Traumatol Arthrosc"},{"key":"B11","doi-asserted-by":"publisher","first-page":"2325967120S00531","DOI":"10.1177\/2325967120S00531","article-title":"Discrepant histological diagnoses affects the near term FJS-12 and could be one of the causes of unhappy TKR patient","volume":"8","author":"Londhe","year":"2020","journal-title":"Orthop J Sports Med"},{"key":"B12","doi-asserted-by":"publisher","first-page":"478","DOI":"10.1016\/j.arth.2018.11.003","article-title":"Rheumatoid arthritis patients achieve better satisfaction but lower functional activities as compared to osteoarthritis patients after total knee arthroplasty","volume":"34","author":"Kobayashi","year":"2018","journal-title":"J Arthroplasty"},{"key":"B13","first-page":"763","article-title":"Early, incapacitating instability of posterior cruciate ligament-retaining total knee arthroplasty","author":"Waslewski","year":"1998"},{"key":"B14","doi-asserted-by":"publisher","first-page":"146","DOI":"10.1097\/01.blo.0000147134.52561.64","article-title":"Long-term followup of posterior-cruciate-retaining TKR in patients with rheumatoid arthritis","volume":"428","author":"Meding","year":"2004","journal-title":"Clin Orthop Relat Res"},{"key":"B15","doi-asserted-by":"publisher","first-page":"193","DOI":"10.1503\/cjs.012014","article-title":"Long-term results of cruciate-retaining total knee replacement in patients with rheumatoid arthritis: a minimum 15-year review","volume":"58","author":"Lee","year":"2015","journal-title":"Cma Joule Inc"},{"key":"B16","first-page":"S550","article-title":"Effect of rheumatoid arthritis on primary total knee arthroplasty and revision arthroplasty","author":"Jinseok","year":""},{"key":"B17","doi-asserted-by":"publisher","first-page":"259","DOI":"10.2106\/00004623-200302000-00012","article-title":"Factors affecting the durability of primary total knee prostheses","volume":"85","author":"Rand","year":"2003","journal-title":"J Bone Joint Surg Am"},{"key":"B18","doi-asserted-by":"publisher","first-page":"2491","DOI":"10.1016\/j.arth.2018.02.094","article-title":"Cruciate-retaining vs posterior-stabilized primary total arthroplasty. Clinical outcome comparison with a Minimum follow-up of 10 years","volume":"33","author":"Serna-Berna","year":"2018","journal-title":"J Arthroplasty"},{"key":"B19","doi-asserted-by":"publisher","first-page":"208","DOI":"10.1097\/00003086-200111000-00025","article-title":"Posterior-stabilized and cruciateretaining total knee replacement","volume":"392","author":"Clark","year":"2001","journal-title":"Clin Orthop Relat Res"},{"key":"B20","first-page":"818","article-title":"A randomized clinical trial comparing posterior cruciate-stabilizing vs posterior cruciate-retaining prostheses in primary total knee arthroplasty: 10-year follow-up","volume":"32","author":"Beaupre","year":"2017"},{"key":"B21","first-page":"142","article-title":"What to know for selecting cruciate-retaining or posterior-stabilized total knee arthroplasty","volume":"11","author":"Song","year":"2019"},{"key":"B22","first-page":"20","article-title":"Surgical technique differences between posterior-substituting and cruciate-retaining total knee arthroplasty","volume":"23","author":"Sierra","year":"2008"},{"key":"B23","doi-asserted-by":"publisher","first-page":"637","DOI":"10.1016\/j.knee.2015.11.015","article-title":"Preoperative varus-valgus kinematic pattern throughout flexion persists more strongly after cruciate-retaining than after posterior-stabilized total knee arthroplasty","volume":"23","author":"Hino","year":"2016","journal-title":"Knee"},{"key":"B24","doi-asserted-by":"publisher","first-page":"2828","DOI":"10.1177\/0363546513504287","article-title":"Kinematic analysis of the posterior cruciate ligament, part 1: the individual and collective function of the anterolateral and posteromedial bundles","volume":"41","author":"Kennedy","year":"2013","journal-title":"Am J Sports Med"},{"key":"B25","doi-asserted-by":"publisher","first-page":"23094990211061610","DOI":"10.1177\/23094990211061610","article-title":"Does posterior cruciate ligament sacrifice influence dynamic balance after total knee arthroplasty? Comparison of cruciate-retaining and cruciate-substituting designs in bilaterally operated patients","volume":"29","author":"Guven","year":"2021","journal-title":"J Orthopaedic Surg"},{"key":"B26","doi-asserted-by":"publisher","first-page":"2203","DOI":"10.1111\/os.13439","article-title":"Preoperative factors predicting the preservation of the posterior cruciate ligament in total knee arthroplasty","volume":"14","author":"Wang","year":"2022","journal-title":"Orthop Surg"},{"key":"B27","doi-asserted-by":"publisher","first-page":"260","DOI":"10.47360\/1995-4484-2023-260-267","article-title":"Updated American college of rheumatology\/American association of hip and knee surgeons guideline for the perioperative management of antirheumatic medication in patients with rheumatic diseases undergoing elective total hip or total knee arthroplasty 2022","volume":"61","author":"Amirjanova","year":"2023","journal-title":"Rheumatol Sci Pract"},{"key":"B28","doi-asserted-by":"publisher","first-page":"107","DOI":"10.1016\/j.arth.2004.06.006","article-title":"The PCL significantly affects the functional outcome of total knee arthroplasty","volume":"19","author":"Conditt","year":"2004","journal-title":"J Arthroplasty"},{"key":"B29","doi-asserted-by":"publisher","first-page":"329","DOI":"10.52198\/22.STI.40.OS1538","article-title":"Does retention of the posterior cruciate ligament lead to a more \u201cforgotten joint\u201d following total knee arthroplasty?","volume":"40","author":"Bieganowski","year":"2022","journal-title":"Surg Technol Int"},{"key":"B30","doi-asserted-by":"publisher","first-page":"273","DOI":"10.1007\/s00167-014-3377-7","article-title":"Mean tensile strength of the PCL in TKA depends on the preservation of the tibial insertion site","volume":"24","author":"Van Opstal","year":"2016","journal-title":"Knee Surg Sports Traumatol Arthrosc"}],"container-title":["Frontiers in Surgery"],"original-title":[],"link":[{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fsurg.2025.1522588\/full","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,5,6]],"date-time":"2025-05-06T05:26:35Z","timestamp":1746509195000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fsurg.2025.1522588\/full"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,5,6]]},"references-count":30,"alternative-id":["10.3389\/fsurg.2025.1522588"],"URL":"https:\/\/doi.org\/10.3389\/fsurg.2025.1522588","relation":{},"ISSN":["2296-875X"],"issn-type":[{"type":"electronic","value":"2296-875X"}],"subject":[],"published":{"date-parts":[[2025,5,6]]},"article-number":"1522588"}}