FEATURED SURGERY: Bicruciate Retaining Total Knee Arthroplasty

    Christopher E. Pelt, MD, from the University of Utah in Salt Lake City, is one of the designers of a bicruciate retaining total knee arthroplasty (TKA) implant that was launched about 4 years ago.

    In this surgical video, Dr. Pelt implants the prosthesis in a 62-year-old woman who has a 3-year history of primarily medial pain from osteoarthritis, with some patellofemoral pain. Although the pain is bilateral, the pain in the left knee has bothered the patient longer, and so the left knee is the one being replaced.

    When Dr. Pelt shows the patient’s preoperative radiographs, he acknowledges that some surgeons would deem the patient a good candidate for a unicompartmental knee arthroplasty (UKA). He says he did consider UKA for this patient, but he felt she had more patellofemoral pain than would be appropriate for that procedure.

    In the video, Dr. Pelt demonstrates the technique for using a bicruciate retaining implant, including the femoral and tibial preparation.

    Click the image above to watch the procedure.