Kinematic comparison between the knee after bicruciate stabilized total knee arthroplasty and the native knee: A cadaveric study

Background: Although bicruciate stabilized total knee arthroplasty (BCS-TKA) is expected to provide kinematics similar to those of the normal knee, there are limited data available for comparison of the kinematics of the knee after BCS-TKA with those of the normal knee. The purpose of this study was to confirm whether the knee after BCS-TKA are the same as those of the native knee. Methods: Seven fresh-frozen cadavers underwent TKA using a BCS-type prosthesis with navigation system. Anteroposterior translation of the femur and internal rotation of the tibia were evaluated using the navigation system. Results: There was no statistically significant difference in anteroposterior translation of the femur between the native knee and the knee after BCS-TKA in the early flexion phase (0 degrees-30 degrees) or in the deep flexion phase (over 100 degrees). In the middle flexion phase (40 degrees-90 degrees), the knee after BCS-TKA was placed significantly more anteriorly than the native knee. The knee after BCS-TKA also showed a gradual internal rotation pattern similar to that of the native knee but the total tibial internal rotation angle was significantly smaller than that of the native knee. At each angle from 0 degrees to 120 degrees of flexion, internal rotation of the knee after BCS-TKA was significantly greater than that of the native knee. Conclusion: Kinematics of BCS-TKA is close to that of the native knee. However, there is a statistically significant difference in AP position of the femur during mid flexion and initial rotational position of the tibia between the BCS-TKA knee and the native knee.O 2023 Elsevier B.V. All rights reserved.