Comparing the mid-vastus and medial parapatellar approaches in total knee arthroplasty: A meta-analysis of short term outcomes

The Knee ◽  
2012 ◽  
Vol 19 (4) ◽  
pp. 229-236 ◽  
Author(s):  
Ilhan Alcelik ◽  
Mohamed Sukeik ◽  
Raymond Pollock ◽  
Anand Misra ◽  
Ashraf Naguib ◽  
...  
Keyword(s):  
Total Knee Arthroplasty ◽  
Knee Arthroplasty ◽  
Meta Analysis ◽  
Short Term ◽  
Total Knee ◽  
Medial Parapatellar

scholarly journals Better outcomes after minimally invasive surgeries compared to the standard invasive medial parapatellar approach for total knee arthroplasty: a meta-analysis

2020 ◽  
Author(s):  
Filippo Migliorini ◽  
Jörg Eschweiler ◽  
Alice Baroncini ◽  
Markus Tingart ◽  
Nicola Maffulli
Keyword(s):  
Clinical Trials ◽  
Total Knee Arthroplasty ◽  
Minimally Invasive ◽  
Knee Arthroplasty ◽  
Invasive Surgery ◽  
Meta Analysis ◽  
Medial Parapatellar Approach ◽  
Estimated Blood Loss ◽  
Total Knee ◽  
Medial Parapatellar

Abstract Purpose Minimally invasive surgery (MIS) for total knee arthroplasty (TKA) is often marketed as being able to speed up healing times over standard invasive surgery (SIS) through the medial parapatellar approach. The advantages of these minimally invasive approaches, however, are not yet definitively established. A meta-analysis of studies comparing peri-operative and post-operative differences and long-term complications of MIS versus SIS for TKA was conducted. Methods This meta-analysis was conducted following the PRISMA guidelines. The Pubmed, Google Scholar, Scopus, and Embase databases were accessed in September 2020. All clinical trials comparing minimally-invasive versus standard approaches for TKA were considered. Only studies reporting quantitative data under the outcomes of interest were included. Methodological quality assessment was performed using the PEDro appraisal score. Results This meta-analysis covers a total of 38 studies (3296 procedures), with a mean 21.3 ± 24.3 months of follow-up. The MIS group had shorter hospitalization times, lower values of total estimated blood loss, quicker times of straight-leg raise, greater values for range of motion, higher scores on the Knee Society Clinical Rating System (KSS) and its related Function Subscale (KSFS). Pain scores, anterior knee pain and revision rate were similar between MIS and SIS. SIS allowed a quicker surgical duration. Conclusion The present meta-analysis encourages the use of minimally invasive techniques for total knee arthroplasty. However, MIS TKA is technically demanding and requires a long learning curve. Level of evidence III, meta-analysis of clinical trials.

A meta-analysis of the sub-vastus approach and medial parapatellar approach in total knee arthroplasty

2012 ◽  
Vol 21 (10) ◽  
pp. 2398-2404 ◽  
Author(s):  
Xudong Hu ◽  
Guanglin Wang ◽  
Fuxing Pei ◽  
Bin Shen ◽  
Jing Yang ◽  
...  
Keyword(s):  
Total Knee Arthroplasty ◽  
Knee Arthroplasty ◽  
Meta Analysis ◽  
Medial Parapatellar Approach ◽  
Total Knee ◽  
Medial Parapatellar

Subvastus Versus Medial Parapatellar Approach in Total Knee Arthroplasty: Meta-analysis

Orthopedics ◽  
2012 ◽  
Vol 35 (12) ◽  
pp. e1722-e1731 ◽  
Author(s):  
Yuanjun Teng ◽  
Wenjia Du ◽  
Jin Jiang ◽  
Xuren Gao ◽  
Shumei Pan ◽  
...  
Keyword(s):  
Total Knee Arthroplasty ◽  
Knee Arthroplasty ◽  
Meta Analysis ◽  
Medial Parapatellar Approach ◽  
Total Knee ◽  
Medial Parapatellar

scholarly journals Short Term Recovery of Function following Total Knee Arthroplasty: A Randomised Study of the Medial Parapatellar and Midvastus Approaches

Arthritis ◽  
2014 ◽  
Vol 2014 ◽  
pp. 1-7 ◽  
Author(s):  
Richard W. Nutton ◽  
Frazer A. Wade ◽  
Fiona J. Coutts ◽  
Marietta L. van der Linden
Keyword(s):  
Total Knee Arthroplasty ◽  
Knee Arthroplasty ◽  
Recovery Of Function ◽  
Knee Kinematics ◽  
Step Count ◽  
Controlled Study ◽  
Short Term ◽  
Total Knee ◽  
Patellar Eversion ◽  
Medial Parapatellar

This pilot double blind randomised controlled study aimed to investigate whether the midvastus (MV) approach without patellar eversion in total knee arthroplasty (TKA) resulted in improved recovery of function compared to the medial parapatellar (MP) approach. Patients were randomly allocated to either the MV approach or the MP approach. Achievements of inpatient mobility milestones were recorded. Knee kinematics, muscle strength, Timed Up and Go, WOMAC, and daily step count were assessed before and up to six months after surgery. Cohen’s effect size d was calculated to inform the sample size in future trials. Twenty-eight participants (16 males, 12 females) participated. Patient mobility milestones such as straight leg raise were achieved on average 1.3 days (95% CI −3.4 to 0.7, d=0.63) earlier in the MV group. Knee extensor strength at 6 weeks after surgery was higher (95% CI −0.38 to 0.61, d=0.73) in the MV group. No trends for differences between the groups were observed in knee kinematics, TUG, WOMAC, or step count. Our results suggest a short term advantage in the first 6 weeks after surgery of the MV approach over the MP approach, but a larger study is required to confirm these findings. This trial is registered with NCT056445.

Imageless Computer Navigation in Total Knee Arthroplasty Provides Superior Short Term Functional Outcomes: A Meta-Analysis

2014 ◽  
Vol 29 (5) ◽  
pp. 938-944 ◽  
Author(s):  
Brett A. Rebal ◽  
Oladapo M. Babatunde ◽  
Jonathan H. Lee ◽  
Jeffrey A. Geller ◽  
David A. Patrick ◽  
...  
Keyword(s):  
Total Knee Arthroplasty ◽  
Knee Arthroplasty ◽  
Functional Outcomes ◽  
Meta Analysis ◽  
Computer Navigation ◽  
Short Term ◽  
Total Knee
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