RETRACTED: Surgical approaches for total knee arthroplasty

Vaishya, Raju; Vijay, Vipul; Demesugh, Daniel Mue; Agarwal, Amit Kumar

doi:10.1016/j.jcot.2015.11.003

Cited by 39 publications

(15 citation statements)

References 38 publications

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“…We have adopted subvastus approach as a standard for all our total knee replacement surgeries unless indicated otherwise. This choice was based on the experience of our surgeons and also multiple studies which has documented the advantages of the approach [7,8,9,10] . Subvastus approach involves a steep learning curve and may lead to prolonging of operating time at the hands of inexperienced surgeons [7,8,9,10] .…”

Section: Discussionmentioning

confidence: 99%

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Review of safety of single stage bilateral total knee replacement with cruciate retaining prosthesis and subvastus approach

George¹,

Sainulabdeen²,

Chittaranjan³

et al. 2020

Int. J. Orthop. Sci.

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Background: With Most patients with Osteoarthritis needing bilateral TKR for optimal functional results, the debate on whether to do a single stage bilateral TKR or staged bilateral TKR has become common. The aim of this study was to review the safety of single stage bilateral TKR done in our institution. Materials and Methods: We did a retrospective review of 127 cases of single stage bilateral TKR that was done in our institution during a period of 38 months from 2015 to 2018.Electronic medical Records of patients who underwent single stage Bilateral TKR during this period were reviewed. Only patients who received cruciate retaining prosthesis and had subvastus approach were included. Results were analysed using Chi square testing in terms of ASA grade and age and incidence of complications. Results: ASA grade and age was seen to be correlating with incidence of complications during the intraoperative and immediate postoperative period. The incidence of complications was 42.9% in the ASA-III group with p value less than 0.00001. The Incidence of complications was 16 % in the above 70 years age group with P value less than 0.00982. In the ASA-III group, the incidence was 50% in the above 70 group when compared to the 60-70 group (40%) with P value of less than 0.00001. Conclusions: Judicious patient selection using ASA grade and age may minimise complications of single stage bilateral TKR. The use of Cruciate retaining prosthesis and subvastus approach may have contributed to the low incidence of complications.

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Section: Discussionmentioning

confidence: 99%

“…We administer tranexamic acid before incision and also before release of tourniquet in each knee. Further, subvastus approach, is associated with reduced blood loss [7,8,9,10] . It preserves quadriceps mechanism and post-operative quadriceps function.…”

Section: Discussionmentioning

confidence: 99%

Review of safety of single stage bilateral total knee replacement with cruciate retaining prosthesis and subvastus approach

George¹,

Sainulabdeen²,

Chittaranjan³

et al. 2020

Int. J. Orthop. Sci.

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“…SV, MV and QDS are the most commonly used MIS approaches in TKA. 23 , 29 , 70 , 82 , 83 As we have stated above, numerous well-designed RCTs and systematic reviews/metaanalyses have compared the efficacy and the safety of these approaches.…”

Section: Discussionmentioning

confidence: 99%

Minimally invasive versus conventional approaches in total knee replacement/arthroplasty: A review of the literature

Tzatzairis

Fiska

Ververidis

et al. 2018

Journal of Orthopaedics

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“…Bilateral revision TKAs were performed using modified Insall’s midline approach with lateral retraction of the patella (Figure 3 ) [ 1 ]. A joint wound swab was taken and sent for gram stain, culture, and sensitivity.…”

Section: Case Presentationmentioning

confidence: 99%

Bilateral Simultaneous Revision Total Knee Arthroplasty as a Single Staged Procedure: A Case Report and Review of Literature

Vaishya¹,

Agarwal²,

Jaiswal³

et al. 2017

Cureus

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Bilateral revision total knee arthroplasty (TKA) is a surgical procedure, which is rarely done simultaneously as it is a difficult surgery and the safety of simultaneous bilateral single stage surgery remains unknown. We report a case of a 67-year-old woman who presented to us with bilateral painful and unstable TKA (right > left) of six months duration. The primary bilateral TKA were done 14 years ago. Bilateral simultaneous revision TKA was performed, using cemented, constrained, long-stem prostheses. The intraoperative and postoperative periods remained uneventful. At last follow-up at four years, she had a pain-free range of motion of up to 0–115°, and the patient had returned to the activities of daily living. She had stable knees with good function and no evidence of loosening or wear.

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RETRACTED: Surgical approaches for total knee arthroplasty

Cited by 39 publications

References 38 publications

Review of safety of single stage bilateral total knee replacement with cruciate retaining prosthesis and subvastus approach

Review of safety of single stage bilateral total knee replacement with cruciate retaining prosthesis and subvastus approach

Minimally invasive versus conventional approaches in total knee replacement/arthroplasty: A review of the literature

Bilateral Simultaneous Revision Total Knee Arthroplasty as a Single Staged Procedure: A Case Report and Review of Literature

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