Cochrane · systematic review · CD004803
Retention versus sacrifice of the posterior cruciate ligament in total knee arthroplasty for treating osteoarthritis
Verra, WC, van den Boom, LGH, Jacobs, W, et al. · Cochrane Database of Systematic Reviews · 2013 · Cochrane Library
MusculoskeletalAMSTAR 2: not assessed
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
21
current version
GRADE rated
9
No studies
12
Included studies
NR
No studies 12 · 57.1%Ungraded 0 · 0%Very low 1 · 4.8%Low 5 · 23.8%Moderate 3 · 14.3%High 0 · 0%
Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.
Questions and results
Posterior cruciate ligament retention versus sacrifice (all types of arthroplasty designs)
Population: Patients receiving total knee arthroplasty with or without posterior stabilised design for the treatment of osteoarthritis
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Performance based measures ‐ Range of motion (possible range 0 (worst) to 140 (maximal) degrees) Posterior cruciate ligament retention vs sacrifice (all types of arthroplasty designs) | no estimate extracted | NR | Low Downgraded: risk of bias, inconsistency |
Knee pain Knee Society Score, sub score pain (possible range of points 0 (severe pain) ‐ 50 (no pain)) Posterior cruciate ligament retention vs sacrifice (all types of arthroplasty designs) | no estimate extracted | NR | Moderate Downgraded: risk of bias |
Survival rate of the implant (Revision surgery reported) Posterior cruciate ligament retention vs sacrifice (all types of arthroplasty designs) | no estimate extracted | NR | No studies |
Health related quality of life measures and functional measures with validated instruments (WOMAC, range 0‐100, higher scores indicate worse pain, stiffness and functional limitations) Posterior cruciate ligament retention vs sacrifice (all types of arthroplasty designs) | no estimate extracted | NR | Low Downgraded: risk of bias, inconsistency |
Global assessment (patient) Patient satisfaction on scale 0 (not at all satisfied) to 10 (completely satisfied) Posterior cruciate ligament retention vs sacrifice (all types of arthroplasty designs) | no estimate extracted | NR | Low Downgraded: risk of bias |
Complications Posterior cruciate ligament retention vs sacrifice (all types of arthroplasty designs) | no estimate extracted | NR | No studies |
Re‐operation rate (not involving implant change, short and long term) Posterior cruciate ligament retention vs sacrifice (all types of arthroplasty designs) | no estimate extracted | NR | No studies |
Posterior cruciate ligament retention versus sacrifice (using the same arthroplasty design)
Population: Patients receiving total knee arthroplasty with or without resection of the posterior cruciate ligament for the treatment of osteoarthritis
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Performance based measures ‐ Range of motion (possible range 0 (worst) to 140 (maximal) degrees) Posterior cruciate ligament retention vs sacrifice (using the same arthroplasty design) | no estimate extracted | NR | Very low Downgraded: risk of bias, inconsistency |
Knee pain Knee Society Score, sub score pain (possible range 0 (severe pain) ‐ 50 (no pain) points) Posterior cruciate ligament retention vs sacrifice (using the same arthroplasty design) | no estimate extracted | NR | No studies |
Survival rate of the implant (Revision surgery reported) Posterior cruciate ligament retention vs sacrifice (using the same arthroplasty design) | no estimate extracted | NR | No studies |
Health related quality of life measures and functional measures with validated instruments (WOMAC, range 0‐100, higher scores indicate worse pain, stiffness and functional limitations) Posterior cruciate ligament retention vs sacrifice (using the same arthroplasty design) | no estimate extracted | NR | No studies |
Global assessment (patient) Patient satisfaction on scale 0 (not at all satisfied) to 10 (completely satisfied)) Posterior cruciate ligament retention vs sacrifice (using the same arthroplasty design) | no estimate extracted | NR | Low Downgraded: risk of bias |
Complications Posterior cruciate ligament retention vs sacrifice (using the same arthroplasty design) | no estimate extracted | NR | No studies |
Re‐operation rate (not involving implant change, short and long term) Posterior cruciate ligament retention vs sacrifice (using the same arthroplasty design) | no estimate extracted | NR | No studies |
Posterior cruciate ligament retention versus posterior stabilised sacrifice
Population: Patients receiving total knee arthroplasty with or without posterior stabilised design for the treatment of osteoarthritis
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Performance based measures ‐ Range of motion (possible range 0 (worst) to 140 (maximal) degrees) Posterior cruciate ligament retention vs posterior stabilised sacrifice | no estimate extracted | NR | Moderate Downgraded: risk of bias |
Knee pain Knee Society Score, subscore pain (possible range 0 (severe pain) ‐ 50 (no pain) points) Posterior cruciate ligament retention vs posterior stabilised sacrifice | no estimate extracted | NR | Moderate Downgraded: risk of bias |
Survival rate of the implant (Revision surgery reported) Posterior cruciate ligament retention vs posterior stabilised sacrifice | no estimate extracted | NR | No studies |
Health related quality of life measures and functional measures with validated instruments (WOMAC, range 0‐100, higher scores indicate worse pain, stiffness and functional limitations) Posterior cruciate ligament retention vs posterior stabilised sacrifice | no estimate extracted | NR | Low Downgraded: risk of bias |
Global assessment (patient) Posterior cruciate ligament retention vs posterior stabilised sacrifice | no estimate extracted | NR | No studies |
Complications Posterior cruciate ligament retention vs posterior stabilised sacrifice | no estimate extracted | NR | No studies |
Re‐operation rate (not involving implant change, short‐ and long‐term) Posterior cruciate ligament retention vs posterior stabilised sacrifice | no estimate extracted | NR | No studies |