scholarly journals Surgical Approaches for Total Knee Arthroplasty

Author(s):  
Stefan Cristea ◽  
Vlad Predescu ◽  
Serban Dragosloveanu ◽  
Stefan Cuculici ◽  
Nicholas Marandici
2003 ◽  
Vol 18 (3) ◽  
pp. 308-312 ◽  
Author(s):  
Takashi Komatsu ◽  
Yasuyuki Ishibashi ◽  
Hironori Otsuka ◽  
Akihiko Nagao ◽  
Satoshi Toh

2011 ◽  
Vol 20 (10) ◽  
pp. 2026-2031 ◽  
Author(s):  
Yasuo Niki ◽  
Yuki Takeda ◽  
Hiroya Kanagawa ◽  
Wataru Iwamoto ◽  
Hideo Matsumoto ◽  
...  

2012 ◽  
Vol 26 (04) ◽  
pp. 249-256 ◽  
Author(s):  
Sarah Jarvis ◽  
Amanda Johnson-Wo ◽  
Brian Onstot ◽  
Manoshi Bhowmik-Stoker ◽  
M. Shrader ◽  
...  

1998 ◽  
Vol 356 ◽  
pp. 16-21 ◽  
Author(s):  
Robert L. Barrack ◽  
Paul Smith ◽  
Barry Munn ◽  
Gerard Engh ◽  
Cecil Rorabeck

2021 ◽  
Vol 33 (1) ◽  
Author(s):  
Shaheer Nadeem ◽  
Raman Mundi ◽  
Harman Chaudhry

Abstract Purpose Kneeling ability is among the poorest outcomes following total knee arthroplasty (TKA). The purpose of this meta-analysis was to: (1) quantify kneeling ability after TKA; (2) identify surgical approaches and prosthesis designs that improve kneeling ability following TKA; and (3) quantify the effectiveness of these approaches. Methods We performed a systematic review in accordance with the PRISMA guidelines of multiple medical databases. Data relating to demographics, TKA technique, prosthesis design, and kneeling-specific outcomes were extracted. Comparative outcomes data were pooled using a random effects model. Results Thirty-six studies met the eligibility criteria. The proportion of patients able to kneel increased with longer follow-up (36.8% at a minimum of 1 year follow-up versus 47.6% after a minimum of 3 years follow-up, p < 0.001). The odds of kneeling were greater for patients undergoing an anterolateral incision compared with an anteromedial incision (OR 3.0, 95% CI 1.3–6.9, p = 0.02); a transverse incision compared with a longitudinal incision (OR 3.5, 95% CI 1.4–8.7, p = 0.008); and a shorter incision compared with a longer incision (OR 8.5, 95% CI 2.3–30.9, p = 0.001). The odds of kneeling were worse for a mobile prosthesis compared with a fixed platform design (OR 0.3, 95% CI 0.1–0.7, p = 0.005). Conclusion A large majority of patients are unable to kneel following TKA, although the ability to kneel improves over time. This evidence may facilitate preoperative patient counseling. Variations in choice of incision location and length may affect ability to kneel; however, high-quality randomized trials are needed to corroborate our findings.


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