Migration and Inducible Displacement of the Bicruciate-Stabilized Total Knee Arthroplasty: A Randomized Controlled Trial of Gap Balancing and Measured Resection Techniques

  • Jordan S. Broberg
    Correspondence
    Address correspondence to: Jordan S. Broberg, BMSc, Department of Medical Biophysics, Schulich School of Medicine and Dentistry, Western University, 1151 Richmond Street, London, ON N6A 3K7, Canada.
    Affiliations
    Department of Medical Biophysics, Schulich School of Medicine and Dentistry, Western University, London, ON, Canada

    Imaging Research Laboratories, Robarts Research Institute, Schulich School of Medicine and Dentistry, Western University, London, ON, Canada

    Surgical Innovation Program, Lawson Health Research Institute, London, ON, Canada
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  • Edward M. Vasarhelyi
    Affiliations
    Division of Orthopaedic Surgery, Department of Surgery, Schulich School of Medicine and Dentistry, Western University and London Health Sciences Centre, London, ON, Canada
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  • Brent A. Lanting
    Affiliations
    Division of Orthopaedic Surgery, Department of Surgery, Schulich School of Medicine and Dentistry, Western University and London Health Sciences Centre, London, ON, Canada
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  • James L. Howard
    Affiliations
    Division of Orthopaedic Surgery, Department of Surgery, Schulich School of Medicine and Dentistry, Western University and London Health Sciences Centre, London, ON, Canada
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  • Matthew G. Teeter
    Affiliations
    Department of Medical Biophysics, Schulich School of Medicine and Dentistry, Western University, London, ON, Canada

    Imaging Research Laboratories, Robarts Research Institute, Schulich School of Medicine and Dentistry, Western University, London, ON, Canada

    Surgical Innovation Program, Lawson Health Research Institute, London, ON, Canada

    Division of Orthopaedic Surgery, Department of Surgery, Schulich School of Medicine and Dentistry, Western University and London Health Sciences Centre, London, ON, Canada
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  • Douglas D.R. Naudie
    Affiliations
    Department of Medical Biophysics, Schulich School of Medicine and Dentistry, Western University, London, ON, Canada

    Imaging Research Laboratories, Robarts Research Institute, Schulich School of Medicine and Dentistry, Western University, London, ON, Canada

    Division of Orthopaedic Surgery, Department of Surgery, Schulich School of Medicine and Dentistry, Western University and London Health Sciences Centre, London, ON, Canada
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Published:October 25, 2021DOI:https://doi.org/10.1016/j.arth.2021.10.010

      Abstract

      Background

      The goal of this study is to investigate the migration and inducible displacement of a bicruciate-stabilized (BCS) total knee arthroplasty implanted using gap balancing (GB) or measured resection (MR) surgical techniques. We hypothesized equal migration and displacement between the techniques.

      Methods

      The study is a single-blinded, prospective, randomized controlled trial, with allocation of 71 patients to either GB or MR groups. Fifteen patients were withdrawn, resulting in 31 patients in the GB group and 25 in the MR group. Patients received the JOURNEY II™ BCS implant. Migration and inducible displacement were evaluated using radiostereometric analysis and patient examinations were performed at a 2-week baseline, and at 6 weeks, 3 months, 6 months, 1 year, and 2 years postoperation.

      Results

      No differences (P > .05) existed between GB and MR groups for any measurement of tibial or femoral migration. Both groups had tibial migrations below 0.5 mm from baseline to 6 months, and below 0.2 mm from both 6 months to 1 year and 1-2 years postoperation. No differences (P > .05) were found between GB and MR groups for inducible displacement.

      Conclusion

      No differences were found in implant migration or inducible displacement between GB and MR groups. The BCS implant can be expected to have migration risks on par with industry standards and both surgical techniques are safe and effective options for implantation of this implant design.

      Keywords

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