Mini-Subvastus Approach for Total Knee Arthroplasty

Schroer, William C.; Diesfeld, Paul J.; Reedy, Mary E.; LeMarr, Angela R.

doi:10.1016/j.arth.2006.12.100

Cited by 67 publications

(39 citation statements)

References 22 publications

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“…Our results are in accordance with most prior studies [4,15,20,25]. We assume this better result can be attributed to less scar formation resulting from less dissection, including the conservation of all vastus medialis attachments.…”

Section: Resultssupporting

confidence: 83%

“…All studies which involve minimally subvastus approach have detected correct component orientation without differences compared with standard approach [4,9,12,15,20]. Using a mini-incision midvastus approach, Dalury and Dennis [8] found worse component orientation with the mini-incision technique; however, this study has been criticized by other authors [18].…”

Section: Resultscontrasting

confidence: 40%

“…Although this fact may be surprising, Boerger and colleagues [4], Zanasi [25], and Kolisek and colleagues [12] also found substantial differences in early knee flexion but not in hospital stay. In contrast, Lombardini and colleagues [15] and Schroer and colleagues [20] found earlier hospital discharge with the minimally invasive subvastus approach. The application of rapid recovery protocols may accelerate the recovery of these patients and reduce the hospital stay [2,5,19].…”

Section: Resultsmentioning

confidence: 93%

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Minimally Invasive Subvastus Approach: Improving the Results of Total Knee Arthroplasty: A Prospective, Randomized Trial

Varela-Egocheaga

Suárez-Suárez

Fernández-Villán

et al. 2010

Clinical Orthopaedics &Amp; Related Research

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Background Minimally invasive knee arthroplasty seeks to diminish the problems of traditional extensile exposures aiming for more rapid rehabilitation of patients after surgery. Questions/purposesTo determine if the subvastus approach results in less perioperative pain and blood loss, shorter hospital stay, and improved function at both early and long-term followup.Methods One hundred patients were enrolled in a prospective, randomized trial. Fifty were operated on using a minimally invasive subvastus approach and the other 50 by a conventional, peripatellar approach. Minimum followup was 3 years. A repeated-measures analysis of variance was used to compare the Knee Society score and range of motion during followup. ResultsThe minimally invasive approach resulted in greater perioperative bleeding but no increase in transfusions. No differences were found in postoperative pain between groups nor did hospital stay show any differences.

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Section: Resultssupporting

confidence: 83%

Section: Resultscontrasting

confidence: 40%

Section: Resultsmentioning

confidence: 93%

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Minimally Invasive Subvastus Approach: Improving the Results of Total Knee Arthroplasty: A Prospective, Randomized Trial

Varela-Egocheaga

Suárez-Suárez

Fernández-Villán

et al. 2010

Clinical Orthopaedics &Amp; Related Research

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“…Mini-subvastus approach · Subvastus approach · Minimally invasive · Total knee replacement [19]. Beim Vergleich von 25 minimalinvasiv mit 25 konventionell implantierten Knieprothesen stellten sie keinen Unterschied in der Präzision der Implantation und Achsausrichtung beider Verfahren fest [20].…”

Section: Introductionunclassified

Mini-Subvastus-Zugang bei der Implantation von Knieendoprothesen

Halder¹,

Beier²,

Neumann

2009

Orthop Traumatol

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100 patients were randomized to total knee replacement via a parapatellar or subvastus approach. Radiologically, there were no differences in operative precision or leg alignment. Patients treated minimally invasively suffered less pain and achieved a higher flexion of 110 degrees versus 95 degrees 6 weeks postoperatively. However, there were two cases of delayed wound healing in this group. The surgical technique is demanding and the operating time is longer. Long-term results are still missing.

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“…Its proponents suggest quicker recovery, less blood loss, decreased softtissue trauma, less postoperative pain, and improved cosmetic outcomes. [3][4][5][6][7] However, potential drawbacks include longer tourniquet time, poor component placement, and early implant failure. [8][9][10][11][12] The potential benefits must be considered in terms of any additional risks caused by limited surgical exposure.…”

Section: Introductionmentioning

confidence: 99%

Web-Based Information on Minimally Invasive Total Knee Arthroplasty

Meena

Palaniswamy

Chowdhury

2013

J Orthop Surg (Hong Kong)

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purpose. To evaluate information available on the internet regarding minimally invasive total knee arthroplasty (TKA). Methods. The 3 most popular search engines (Google, Yahoo, and MSN) were used to search the keyword 'minimally invasive knee replacement'. The top 50 websites from each search engine were evaluated for authorship and contents; duplicate websites were not double-counted. results. Of the 150 websites, 51% were authored by a hospital/university, 26% by private medical groups, 14% were news stories, and 9% were from orthopaedic industry sources. 73% offered the opportunity to make an appointment. 18% described the surgical technique, whereas only 9% explained patient eligibility. 25% described the risks, whereas only 3% made reference to peer-reviewed publications. >82% made specific claims regarding the advantages of minimally invasive surgery. of explaining surgical technique, patient eligibility, and assoicated risks.

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Mini-Subvastus Approach for Total Knee Arthroplasty

Cited by 67 publications

References 22 publications

Minimally Invasive Subvastus Approach: Improving the Results of Total Knee Arthroplasty: A Prospective, Randomized Trial

Minimally Invasive Subvastus Approach: Improving the Results of Total Knee Arthroplasty: A Prospective, Randomized Trial

Mini-Subvastus-Zugang bei der Implantation von Knieendoprothesen

Web-Based Information on Minimally Invasive Total Knee Arthroplasty

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